NDC 00904-7427-30
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
$0
Average
$18
Median
$6
High
$1.9k
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. 231 hospitals; the 90th percentile is 11.3× 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 | FHN Memorial Hospital Freeport, IL | $4 | $4 | $1 | 16% | 110–128 | $3 – $5 |
| 2 | Benefis Hospitals Inc Falls, MT | $2 | $2 | $0 | 8% | 90 | $1 – $2 |
| 3 | DUKE HEALTH LAKE NORMAN REGIONAL MEDICAL CENTER, INC. Doing Business As: DUKE HEALTH LAKE NORMAN HOSPITAL Mooresville, NC | $6 | $6 | $1 | 15% | 1–10 | $3 – $12 |
| 4 | Northwest Iowa Hospital Corporation Sioux City, IA | $7 | $7 | $2 | 23% | — | $3 – $8 |
| 5 | Trinity Medical Center Rock Island, IL | $6 | $6 | $1 | 19% | — | $4 – $235 |
| 6 | Trinity Medical Center Bettendorf, IA | $6 | $6 | $1 | 21% | — | $4 – $7 |
| 7 | Unity Healthcare Muscatine, IA | $5 | $5 | $2 | 32% | — | $3 – $235 |
| 8 | Meriter Hospital, Inc Madison, WI | $6 | $6 | $3 | 42% | — | $3 – $12 |
| 9 | Central Iowa Hospital Corporation Des Moines, IA | $6 | $5 | $1 | 24% | — | $3 – $6 |
| 10 | Central Iowa Hospital Corporation Des Moines, IA | $6 | $5 | $1 | 29% | — | $3 – $6 |
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