NDC 50419-346-10

iopromide (ULTRAVIST) 77 % injection 100 mL at St. Vincent Regional Medical Center

Santa Fe, NM

Pricing by billing methodology

Price type

All methodologies

$460

Case rate

Not reported

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$460

Other

Not reported

Last updated: Jan 13, 2026

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