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  3. /Santa Rosa Hospital - Westover Hills
  4. /NDC 60687-431-92

NDC 60687-431-92

polyethylene glycol (Glycolax) packet 17 g at Santa Rosa Hospital - Westover Hills

San Antonio, TX

Pricing by billing methodology

Price type

All methodologies

$24

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

Not reported

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$24

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jan 13, 2026

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See polyethylene glycol (Glycolax) packet 17 g pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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