NDC 00264-3200-55
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
Low
$0
Average
$171
Median
$132
High
$923
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 66 hospitals; the 90th percentile is 4212.9× 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 | San Joaquin Community Hospital Bakersfield, CA | $330 | $372 | $107 | 29% | 88–97 | $211 – $1.7k |
| 2 | Texas Health Presbyterian Hospital Dallas Dallas, TX | $85 | $83 | $39 | 47% | 3–30 | $14 – $138 |
| 3 | Texas Health Arlington Memorial Hospital Arlington, TX | $81 | $80 | $41 | 51% | 3–30 | $15 – $138 |
| 4 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $81 | $80 | $40 | 50% | 3–30 | $16 – $138 |
| 5 | AMH Cath Labs LLC Arlington, TX | $81 | $81 | $40 | 49% | 3–30 | $13 – $138 |
| 6 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL Butte, MT | $282 | $265 | $35 | 13% | — | $159 – $303 |
| 7 | Ochsner Clinic Foundation Orleans, LA | $326 | $302 | $71 | 23% | — | $66 – $391 |
| 8 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $145 | $157 | $52 | 33% | — | $25 – $246 |
| 9 | University Health Shreveport, Llc Shreveport, LA | $145 | $134 | $18 | 13% | — | $58 – $217 |
| 10 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana LULING, LA | $196 | $223 | $49 | 22% | — | $162 – $311 |
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