NDC 49281-0564-15
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
QUADRACEL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
Low
$1
Average
$110
Median
$108
High
$159
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. 32 hospitals; the 90th percentile is 2.4× 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 | Gundersen Luthern Medical Center Inc La Crosse, WI | $1 | $1 | — | — | — | $1 – $13 |
| 2 | Winneshiek Medical Center Decorah, IA | $57 | $50 | $19 | 38% | — | $19 – $140 |
| 3 | Benefis Hospitals Inc Falls, MT | $59 | $59 | $8 | 14% | — | $51 – $67 |
| 4 | Ochsner Clinic Foundation Orleans, LA | $69 | $69 | — | — | — | $48 – $288 |
| 5 | University Hospital & Clinics, Inc. Lafayette, LA | $69 | $69 | — | — | — | $69 – $509 |
| 6 | Indiana University Health West Hospital Inc. Avon, IN | $157 | $157 | $26 | 16% | — | $121 – $499 |
| 7 | Indiana University Health North Hospital Inc. Carmel, IN | $157 | $157 | $26 | 16% | — | $121 – $499 |
| 8 | Indiana University Health Inc. Indianapolis, IN | $157 | $157 | $26 | 16% | — | $121 – $499 |
| 9 | Indiana University Health Paoli Inc. Paoli, IN | $147 | $143 | $19 | 13% | — | $121 – $526 |
| 10 | Indiana University Health Bloomington Inc. Bloomington, IN | $157 | $157 | $26 | 16% | — | $121 – $526 |
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