4202315701 (NDC) by state — Price Transparency

NDC · across United States

4202315701 — Ethacrynate Sodium 50 Mg Intravenous Solution

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$5,315 National median

$3,556 – $10,260 IQR (p25 – p75)

17 hospitals filing

6 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $8,892.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 4202315701 (NDC), with interquartile range
State	Median	p25	p75
MI	$12,181	$12,181	$12,181
VA	$10,507	$8,707	$11,932
OH	$8,208	$6,156	$9,840
FL	$5,198	$4,008	$8,892
NJ	$4,268	$3,597	$4,738
PA	$88	$20	$287

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

MI	$12,181	$12,181	$12,181	$75	$15,729	1 ⚠ thin data	110	123
VA	$10,507	$8,707	$11,932	$4,864	$32,300	2 ⚠ thin data	13	55
OH	$8,208	$6,156	$9,840	$2,280	$13,680	7	32	300
FL	$5,198	$4,008	$8,892	$2,845	$13,680	2 ⚠ thin data	8	29
NJ	$4,268	$3,597	$4,738	$866	$5,218	3	20	215
PA	$88	$20	$287	$18	$1,463	2 ⚠ thin data	18	140