NDC 00703-9514-93
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
Based on 110–128 billing samples across every hospital reporting.
Low
$0
Average
$57
Median
$34
High
$307
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 65 hospitals; the 90th percentile is 49.8× 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 | FHN Memorial Hospital Freeport, IL | $168 | $164 | $27 | 16% | 110–128 | $116 – $209 |
| 2 | Northwestern Memorial Hospital Chicago, IL | $57 | $50 | $20 | 40% | — | $14 – $70 |
| 3 | Vanderbilt Wilson County Hospital Lebanon, TN | $19 | $43 | $43 | 100% | — | $8 – $139 |
| 4 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN | $22 | $52 | $45 | 86% | — | $8 – $139 |
| 5 | Vanderbilt University Medical Center Nashville, TN | $19 | $43 | $43 | 99% | — | $8 – $139 |
| 6 | Vanderbilt Bedford Hospital Shelbyville, TN | $21 | $52 | $45 | 86% | — | $8 – $139 |
| 7 | Memorial Hospital of Laramie County Cheyenne, WY | $165 | $162 | $12 | 7% | — | $137 – $180 |
| 8 | Brfhh Monroe, Llc Monroe, LA | $23 | $20 | $10 | 50% | — | $7 – $45 |
| 9 | Cheshire Medical Center Keene, NH | $45 | $40 | $15 | 38% | — | $8 – $64 |
| 10 | Longs Peak Hospital Longmont, CO | $248 | $208 | $159 | 76% | — | $0 – $443 |
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