NDC 43598-0262-23
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
$5
Average
$54
Median
$14
High
$893
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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. 131 hospitals; the 90th percentile is 25.8× 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 | St. Peter's Health Helena, MT | $7 | $7 | — | — | 100 | $7 – $7 |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $7 | $9 | $3 | 36% | 38 | $7 – $4.8k |
| 3 | St Joseph's Hospital And Health Center Dickinson, ND | $180 | $160 | $59 | 37% | 13 | $7 – $221 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA | $8 | $9 | $2 | 24% | — | $7 – $24 |
| 5 | St. Joseph's Area Health Services Park Rapids, MN | $212 | $210 | $88 | 42% | — | $95 – $333 |
| 6 | St. Francis Medical Center Breckenridge, MN | $238 | $224 | $88 | 39% | — | $7 – $333 |
| 7 | Lisbon Area Health Services Lisbon, ND | $291 | $263 | $88 | 33% | — | $7 – $336 |
| 8 | Oakes Community Hospital Oakes, ND | $312 | $267 | $93 | 35% | — | $7 – $340 |
| 9 | Mercy Hospital Of Valley City Valley City, ND | $289 | $256 | $97 | 38% | — | $7 – $340 |
| 10 | Mercy Medical Center Williston, ND | $271 | $251 | $87 | 35% | — | $7 – $329 |
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