NDC 24571-0105-05
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 353–425 billing samples across every hospital reporting.
Low
$18
Average
$412
Median
$88
High
$3.5k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 11 hospitals; the 90th percentile is 9.6× 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 | White Memorial Medical Center Angeles, CA | $296 | $307 | $193 | 63% | 353–425 | $85 – $1.3k |
| 2 | Metro Knoxville HMA LLC Knoxville, TN | $94 | $88 | $32 | 37% | — | $36 – $134 |
| 3 | La Porte Hospital Company LLC La Porte, IN | $3.7k | $3.5k | $855 | 25% | — | $1.2k – $4.2k |
| 4 | UPMC Cole Coudersport, PA | $19 | $18 | $7 | 40% | — | $9 – $26 |
| 5 | UPMC Kane Kane, PA | $18 | $40 | $122 | 304% | — | $11 – $720 |
| 6 | UPMC Western Maryland Cumberland, MD | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Curators of the University of Missouri Columbia, MO | $116 | $113 | $29 | 26% | — | $50 – $162 |
| 8 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX | $119 | $117 | $50 | 43% | — | $31 – $187 |
| 9 | Bexar County Hospital District San Antonio, TX | $234 | $247 | $129 | 52% | — | $133 – $900 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $60 | $61 | $27 | 44% | — | $10 – $92 |
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