NDC 45802-0961-26
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
Bottle
Low
$100
Average
$288
Median
$294
High
$570
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 27 hospitals; the 90th percentile is 4.8× 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 | Norton Kings Daughters Health Inc Madison, IN | $362 | $337 | $62 | 18% | 1–10 | $98 – $387 |
| 2 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT | $324 | $294 | $85 | 29% | — | $5 – $405 |
| 3 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT | $324 | $296 | $82 | 28% | — | $6 – $405 |
| 4 | Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital CITY, MT | $578 | $570 | $51 | 9% | — | $299 – $635 |
| 5 | Boston Children's Hospital Boston, MA | $102 | $100 | $17 | 17% | — | $66 – $129 |
| 6 | Boston Children's Hospital Waltham, MA | $103 | $101 | $18 | 18% | — | $66 – $129 |
| 7 | Boston Children's Hospital Needham, MA | $105 | $102 | $18 | 18% | — | $66 – $129 |
| 8 | Boston Children's Hospital Dartmouth, MA | $105 | $102 | $18 | 18% | — | $66 – $129 |
| 9 | Boston Children's Hospital Lexington, MA | $105 | $102 | $18 | 18% | — | $66 – $129 |
| 10 | Boston Children's Hospital Brookline, MA | $105 | $102 | $18 | 18% | — | $66 – $129 |
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