NDC 338963601
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
$0
Average
$38
Median
$1
High
$113
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Peter's Health Helena, MT | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 2 | Sanford Fargo Medical Center Fargo, ND | $1 | $1 | — | — | — | $1 – $49 |
| 3 | Doylestown Hospital Doylestown, PA | $113 | $113 | — | — | — | $30 – $113 |
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