NDC 121072104
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
00121-0721-04 - FLUoxetine 20 mg/5 mL Soln-Oral 5
Reported by 14 hospitals in the network under the other methodology.
Low
$1
Average
$33
Median
$17
High
$257
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 17.9× 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 | Bluffton Health System LLC Bluffton, IN | $23 | $23 | $13 | 57% | — | $9 – $128 |
| 2 | Dukes Health System LLC Peru, IN | $19 | $24 | $11 | 46% | — | $8 – $107 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $44 | $44 | $14 | 32% | — | $7 – $58 |
| 4 | Northwest Hospital LLC Tucson, AZ | $9 | $11 | $3 | 32% | — | $4 – $29 |
| 5 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | — | $7 – $48 |
| 6 | Gadsden Regional Medical Center LLC Gadsden, AL | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Laredo Texas Hospital Company LP Laredo, TX | $3 | $3 | $0 | 2% | — | $2 – $30 |
| 8 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO | $25 | $25 | $13 | 52% | — | $4 – $53 |
| 9 | Longview Medical Center LP Longview, TX | $12 | $31 | $27 | 87% | — | $5 – $119 |
| 10 | La Porte Hospital Company LLC La Porte, IN | $4 | $4 | — | — | — | $4 – $12 |
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