NDC 51660-0724-11
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
UNCLASSIFIED DRUGS
Low
$5
Average
$11
Median
$13
High
$16
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nebraska Medical Center Omaha, NE | $13 | $13 | $3 | 23% | — | $2 – $30 |
| 2 | Bellevue Medical Center Llc Bellevue, NE | $16 | $16 | $2 | 14% | — | $3 – $30 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $5 | $5 | — | — | — | $1 – $5 |
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