NDC 00409-5093-11
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
FORTAZ 2 GRAM ADDVANTAGE VIAL
Based on 14–140 billing samples across every hospital reporting.
Low
$2
Average
$77
Median
$46
High
$369
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 92 hospitals; the 90th percentile is 13.3× 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 | Northside Hospital, Inc. Duluth, GA | $181 | $187 | $78 | 42% | 6–60 | $29 – $451 |
| 2 | Baptist Healthcare System Inc Corbin, KY | $116 | $106 | $91 | 86% | 3–30 | $2 – $291 |
| 3 | Baptist Healthcare System Inc Paducah, KY | $56 | $92 | $89 | 96% | 2–20 | $1 – $291 |
| 4 | Baptist Healthcare System Inc. Louisville, KY | $65 | $91 | $88 | 97% | 1–10 | $2 – $291 |
| 5 | Baptist Healthcare System Inc Lexington, KY | $77 | $96 | $90 | 94% | 1–10 | $2 – $295 |
| 6 | Baptist Healthcare System Inc Richmond, KY | $60 | $87 | $85 | 98% | 1–10 | $2 – $280 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA | $10 | $8 | $5 | 59% | — | $2 – $14 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA | $8 | $8 | $5 | 61% | — | $2 – $14 |
| 9 | Northwestern Memorial Hospital Chicago, IL | $79 | $185 | $177 | 96% | — | $11 – $499 |
| 10 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $364 | $355 | $109 | 31% | — | $91 – $499 |
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