NDC 3232711
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
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)
Low
$165
Average
$1.4k
Median
$225
High
$23.8k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 80 hospitals; the 90th percentile is 18.2× 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 | St. Peter's Health Helena, MT | $183 | $183 | — | — | 250 | $183 – $183 |
| 2 | Dukes Health System LLC Peru, IN | $17.8k | $23.8k | $9.5k | 40% | — | $16.4k – $88.6k |
| 3 | Victoria of Texas LP Victoria, TX | $189 | $207 | $96 | 46% | — | $105 – $1.7k |
| 4 | Victoria of Texas LP Victoria, TX | $189 | $207 | $96 | 46% | — | $105 – $1.7k |
| 5 | Triad of Alabama LLC Dothan, AL | $187 | $416 | $975 | 234% | — | $183 – $11.6k |
| 6 | Laredo Texas Hospital Company LP Laredo, TX | $187 | $165 | $117 | 71% | — | $29 – $539 |
| 7 | Las Cruces Medical Center LLC Las Cruces, NM | $196 | $214 | $60 | 28% | — | $147 – $922 |
| 8 | Sanford Fargo Medical Center Fargo, ND | $201 | $190 | $15 | 8% | — | $169 – $15.6k |
| 9 | Sanford Medical Center Bismarck Bismarck, ND | $201 | $201 | — | — | — | $174 – $8.6k |
| 10 | Sanford USD Medical Center Sioux Falls, SD | $201 | $187 | $16 | 9% | — | $169 – $22.2k |
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