NDC 42852-0805-67
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.
Generation details were not recorded for this description.
Original text from hospital filings
COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED
Low
$81
Average
$175
Median
$143
High
$387
Filter by billing methodology
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. 10 hospitals; the 90th percentile is 3.7× 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 | Castle Medical Center Kailua, HI | $145 | $145 | $28 | 19% | — | $29 – $205 |
| 2 | Ukiah Adventist Hospital Ukiah, CA | $229 | $229 | — | — | — | $87 – $229 |
| 3 | Simi Valley Hospital And Health Care Services Valley, CA | $291 | $291 | — | — | — | $71 – $291 |
| 4 | San Joaquin Community Hospital Bakersfield, CA | $318 | $387 | $173 | 45% | — | $89 – $725 |
| 5 | Willits Hospital Inc Willits, CA | $221 | $221 | — | — | — | $44 – $221 |
| 6 | Dignity Community Care Woodland, CA | $92 | $82 | $31 | 37% | — | $13 – $115 |
| 7 | Dignity Health Sacramento, CA | $90 | $84 | $21 | 25% | — | $29 – $115 |
| 8 | Dignity Health Folsom, CA | $91 | $81 | $30 | 37% | — | $13 – $115 |
| 9 | Sierra Nevada Memorial-miners Hospital Grass Valley, CA | $87 | $87 | $12 | 14% | — | $49 – $100 |
| 10 | Dignity Health Mt Shasta, CA | $172 | $141 | $55 | 39% | — | $48 – $196 |
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