NDC 00121-0504-40
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
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
Based on 132 billing samples across every hospital reporting.
Low
$7
Average
$48
Median
$29
High
$448
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 37 hospitals; the 90th percentile is 4.3× 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 | FHN Memorial Hospital Freeport, IL | $7 | $7 | $1 | 16% | 132 | $5 – $9 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $182 | $192 | $83 | 43% | — | $47 – $330 |
| 3 | Northwestern Memorial Hospital Chicago, IL | $148 | $172 | $119 | 69% | — | $13 – $330 |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital McHenry, IL | $23 | $24 | $11 | 44% | — | $9 – $49 |
| 5 | GRMC, Inc. Oakland, MD | $27 | $28 | $1 | 3% | — | $26 – $29 |
| 6 | Henry Ford Health System Detroit, MI | $15 | $15 | $3 | 23% | — | $7 – $21 |
| 7 | Henry Ford Health System West Bloomfield, MI | $14 | $14 | $4 | 27% | — | $7 – $21 |
| 8 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI | $14 | $14 | $4 | 27% | — | $6 – $19 |
| 9 | Henry Ford Wyandotte Hospital Wyandotte, MI | $15 | $13 | $4 | 27% | — | $5 – $17 |
| 10 | WA Foote Memorial Hospital Jackson, MI | $15 | $16 | $4 | 28% | — | $7 – $22 |
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