NDC 52268010101

polyethylene glycol 3350 with electrolytes 236 gm at Northwest Sahurita Hospital LLC

Sahuarita, AZ

Pricing by billing methodology

Price type

All methodologies

$23

Case rate

$77

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$13

Other

$24

Last updated: Apr 1, 2026

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