NDC 00074-1040-04
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
Beractant Intratracheal 25 mg/mL 4 mL (UD)
Low
$142
Average
$6.9k
Median
$2.1k
High
$23.4k
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Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Indiana University Health Bloomington Inc. Bloomington, IN | $142 | $142 | — | — | — | $142 – $3.6k |
| 2 | Lucile Salter Packard Children's Hospital At Stanford PALO ALTO, CA | $28.5k | $23.4k | $8.9k | 38% | — | $457 – $28.5k |
| 3 | Highsmith-Rainey Specialty Hospital Fayetteville, NC | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Cape Fear Valley - Bladen County Hospital Elizabethtown, NC | $2.5k | $2.5k | $65 | 3% | — | $896 – $2.7k |
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