NDC 378563159
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
00378-5631-59 - sumatriptan 50. mg Tab
Low
$2
Average
$58
Median
$39
High
$151
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $2 | $2 | $1 | 40% | — | $2 – $9 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $76 | $76 | — | — | — | $9 – $76 |
| 3 | Allina Health Systems Ulm, MN | $3 | $3 | $0 | 5% | — | $1 – $6 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $151 | $151 | — | — | — | $27 – $151 |
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