NDC 00186-1027-01
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 2 hospitals in the network under the fee schedule methodology.
Low
$200
Average
$382
Median
$382
High
$563
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | 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 | Lodi Memorial Hospital Association Inc | Lodi, CA | $544 | $563 | $79 | — | $126 | $694 |
| 2 | St Helena Hospital | Helena, CA | $200 | $200 | — | — | $89 | $200 |
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