NDC 10122-0510-03
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
PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION
Low
$21
Average
$3.8k
Median
$900
High
$19.8k
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 40 hospitals; the 90th percentile is 384.5× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $31 | $31 | — | — | 172 | $31 – $3.8k |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $1.5k |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $77 | $85 | $14 | 16% | — | $73 – $1.5k |
| 4 | Northwest Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $2.3k |
| 5 | Glendale Adventist Medical Center Glendale, CA | $10.1k | $9.2k | $2.1k | 23% | — | $1.2k – $29.2k |
| 6 | San Joaquin Community Hospital Bakersfield, CA | $3.2k | $3.1k | $149 | 5% | — | $2.3k – $9.1k |
| 7 | White Memorial Medical Center Angeles, CA | $539 | $521 | $25 | 5% | — | $285 – $4.2k |
| 8 | Mishawaka Medical Center Mishawaka, IN | $37 | $37 | — | — | — | $37 – $5.6k |
| 9 | Mount Carmel Grove City Grove City, OH | $632 | $632 | — | — | — | $632 – $3.4k |
| 10 | Diley Ridge Medical Center Canal Winchester, OH | $632 | $632 | — | — | — | $632 – $3.4k |
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