NDC 00054-0379-51

sod polysty sulf 15 gm/60 mL Susp 60 mL at Sonora Community Hospital

Sonora, CA

Pricing by billing methodology

Price type

All methodologies

$164

95–113 samples

Case rate

$127

Fee schedule

$217

Per diem

Not reported

Percent of billed charges

$163

95–113 samples

Other

Not reported

Last updated: May 23, 2026

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