NDC 00409-3073-31
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
$99
Average
$214
Median
$214
High
$328
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Sierra Vista Hospital Inc Obispo, CA | $328 | $328 | — | — | — | $86 – $15.6k |
| 2 | White Memorial Medical Center Angeles, CA | $99 | $99 | $26 | 26% | — | $19 – $287 |
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