NDC 00074-4504-05
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
UNCLASSIFIED DRUGS
Reported by 3 hospitals in the network under the other methodology.
Low
$849
Average
$1.5k
Median
$1.4k
High
$2.2k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Castle Medical Center | Kailua, HI | $849 | $849 | — | — | $121 | $849 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $2.2k | $2.2k | $750 | — | $497 | $5.0k |
| 3 | White Memorial Medical Center | Angeles, CA | $1.4k | $1.4k | $374 | — | $273 | $4.2k |
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