NDC 00003-0371-13
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BELATAC LYO 250MGSDVJWTB
Low
$1
Average
$2.5k
Median
$7
High
$236.9k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 472 hospitals; the 90th percentile is 433.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dignity Health Phoenix, AZ | $6 | $827 | $1.2k | 146% | 188–206 | $3 – $3.3k |
| 2 | Methodist University Hospital MEMPHIS, TN | $968 | $931 | $266 | 29% | 55–73 | $4 – $1.2k |
| 3 | Children's Healthcare of Atlanta Atlanta, GA | $1.1k | $1.1k | $78 | 7% | 34–52 | $1.1k – $1.3k |
| 4 | Scotland Memorial Hospital Inc. Laurinburg, NC | $4 | $4 | $0 | 5% | 34 | $3 – $4 |
| 5 | Alegent Health - Mercy Hospital, Corning Iowa Corning, IA | $4.7k | $3.8k | $1.3k | 35% | 23 | $4 – $4.8k |
| 6 | Methodist Hospitals of Dallas Dallas, TX | $2.0k | $2.7k | $1.1k | 43% | 15–24 | $1.2k – $4.6k |
| 7 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $4 | $5 | $2 | 40% | 1–10 | $4 – $4.4k |
| 8 | Columbus Regional Hospital Columbus, IN | $1.0k | $1.3k | $480 | 36% | 1–10 | $4 – $2.4k |
| 9 | Mayo Clinic Rochester, MN | $1.1k | $741 | $615 | 83% | 1–10 | $4 – $2.7k |
| 10 | The Finley Hospital Dubuque, IA | $4 | $4 | — | — | — | $1 – $13 |
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