NDC 00555-9045-79
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
LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET
Low
$2
Average
$82
Median
$96
High
$96
Filter by billing methodology
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. 11 hospitals; the 90th percentile is 2.5× 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 | Boston Children's Hospital Boston, MA | $95 | $94 | $16 | 17% | — | $62 – $121 |
| 2 | Boston Children's Hospital Waltham, MA | $96 | $95 | $17 | 18% | — | $62 – $121 |
| 3 | Boston Children's Hospital Needham, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 4 | Boston Children's Hospital Dartmouth, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 5 | Boston Children's Hospital Lexington, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 6 | Boston Children's Hospital Brookline, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 7 | Boston Children's Hospital Weymouth, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 8 | Boston Children's Hospital Peabody, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 9 | Boston Children's Hospital Boston, MA | $98 | $96 | $17 | 18% | — | $62 – $121 |
| 10 | The University of Texas Medical Branch Galveston, TX | $2 | $2 | $1 | 53% | — | $1 – $4 |
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