NDC 00517-8575-10
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 25 hospitals in the network.
Based on 442–532 billing samples across every hospital reporting.
Low
$80
Average
$823
Median
$230
High
$8.5k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 25 hospitals; the 90th percentile is 15.0× 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 | 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 | White Memorial Medical Center | Angeles, CA | $152 | $158 | $99 | 353–425 | $44 | $666 |
| 2 | San Joaquin Community Hospital | Bakersfield, CA | $1.9k | $2.6k | $1.7k | 88–97 | $1.3k | $10.4k |
| 3 | Garden City Hospital | City, MI | $116 | $116 | — | 1–10 | $116 | $116 |
| 4 | Sierra Vista Hospital Inc | Obispo, CA | $192 | $230 | $117 | — | $113 | $433 |
| 5 | Alegent Creighton Health | Omaha, NE | $232 | $225 | $86 | — | $62 | $329 |
| 6 | Alegent Health Memorial Hospital, Schuyler | Schuyler, NE | $372 | $327 | $83 | — | $83 | $439 |
| 7 | Alegent Creighton Health | Plainview, NE | $372 | $343 | $59 | — | $236 | $525 |
| 8 | Alegent Creighton Health | Papillion, NE | $232 | $226 | $84 | — | $70 | $329 |
| 9 | Alegent Health Bergan Mercy Health System | Omaha, NE | $281 | $235 | $91 | — | $66 | $329 |
| 10 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $372 | $316 | $92 | — | $136 | $380 |
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