NDC 00409-1966-07
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
$23
Median
$8
High
$204
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 57 hospitals; the 90th percentile is 90.4× 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 | $72 | $88 | $39 | 45% | — | $20 – $165 |
| 2 | White Memorial Medical Center Angeles, CA | $55 | $73 | $35 | 49% | — | $13 – $194 |
| 3 | Agh Laveen Llc Phoenix, AZ | $29 | $24 | $15 | 64% | — | $8 – $44 |
| 4 | Dignity Community Care Woodland, CA | $39 | $35 | $13 | 38% | — | $6 – $50 |
| 5 | Dignity Community Care Chandler, AZ | $45 | $35 | $19 | 54% | — | $8 – $54 |
| 6 | Agh Mesa Llc Mesa, AZ | $29 | $24 | $15 | 64% | — | $8 – $44 |
| 7 | Dignity Health Folsom, CA | $38 | $34 | $13 | 39% | — | $6 – $50 |
| 8 | Dignity Health Gilbert, AZ | $42 | $35 | $19 | 54% | — | $8 – $54 |
| 9 | Dignity Health Carmichael, CA | $39 | $36 | $14 | 38% | — | $6 – $50 |
| 10 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $9 | $9 | $4 | 44% | — | $5 – $12 |
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