NDC 54288-0159-05
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
Based on 41–122 billing samples across every hospital reporting.
Low
$8
Average
$256
Median
$160
High
$2k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 33 hospitals; the 90th percentile is 10.7× 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 | Adventist Health Delano Delano, CA | $172 | $188 | $54 | 29% | 34–52 | $52 – $305 |
| 2 | Dignity Health Sacramento, CA | $15 | $59 | $71 | 119% | 4–40 | $1 – $185 |
| 3 | Childrens Hospital Colorado Aurora, CO | $209 | $204 | $54 | 27% | 1–10 | $31 – $287 |
| 4 | Texas Health Presbyterian Hospital Dallas Dallas, TX | $80 | $75 | $63 | 84% | 1–10 | $2 – $176 |
| 5 | Texas Health Arlington Memorial Hospital Arlington, TX | $71 | $73 | $62 | 85% | 1–10 | $2 – $176 |
| 6 | Piedmont Mcduffie Hospital Thomson, GA | $191 | $238 | $108 | 46% | — | $70 – $391 |
| 7 | University of Colorado Hospital Authority Aurora, CO | $138 | $126 | $86 | 68% | — | $8 – $300 |
| 8 | Medical Center of the Rockies Loveland, CO | $591 | $506 | $353 | 70% | — | $9 – $972 |
| 9 | UCHealth Greeley Hospital Greeley, CO | $532 | $413 | $296 | 72% | — | $9 – $874 |
| 10 | Parkview Medical Center, Inc Pueblo West, CO | $37 | $43 | $28 | 65% | — | $9 – $95 |
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