NDC 65649040001

NF - Polyethylene Glycol with Electrolytes/Ascorbi at USC Arcadia Hospital

Arcadia, CA

Pricing by billing methodology

Price type

All methodologies

$152

Case rate

Not reported

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$162

Other

$116

Last updated: Jul 27, 2026

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