NDC 49281-0286-58
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
DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP
Low
$1
Average
$48
Median
$44
High
$217
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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. 103 hospitals; the 90th percentile is 3.2× 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 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $49 | $53 | $15 | 28% | 2–20 | $39 – $233 |
| 2 | Prisma Health Baptist Easley Hospital EASLEY, SC | $49 | $53 | $15 | 28% | 2–20 | $39 – $233 |
| 3 | Sanford Fargo Medical Center Fargo, ND | $1 | $1 | — | — | — | $1 – $73 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | — | — | — | $1 – $367 |
| 5 | Sanford Worthington Medical Center Worthington, MN | $1 | $1 | — | — | — | $1 – $90 |
| 6 | Winneshiek Medical Center Decorah, IA | $57 | $50 | $19 | 38% | — | $19 – $71 |
| 7 | Mercy Health Lakeshore Campus Shelby, MI | $42 | $42 | $10 | 24% | — | $26 – $134 |
| 8 | Mercy Health Hackley Campus Muskogen, MI | $96 | $92 | $15 | 16% | — | $32 – $146 |
| 9 | Mercy Health Saint Marys Grand Rapids, MI | $65 | $65 | $11 | 17% | — | $32 – $146 |
| 10 | Plymouth Medical Center Plymouth, IN | $59 | $59 | — | — | — | $39 – $146 |
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