NDC 54629-0400-01
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
54629-0400-01 - vitamin E with mixed tocopherols 4
Reported by 11 hospitals in the network under the other methodology.
Low
$0
Average
$2
Median
$0
High
$10
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 27.4× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $4 | $4 | — | — | — | $1 – $4 |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $0 | $0 | $0 | 4% | — | $0 – $1 |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $0 | $0 | $0 | 4% | — | $0 – $1 |
| 4 | Oro Valley Hospital LLC Tucson, AZ | $0 | $0 | $0 | 32% | — | $0 – $1 |
| 5 | HMA Santa Rosa Medical Center LLC Milton, FL | $3 | $10 | $20 | 194% | — | $1 – $63 |
| 6 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $0 | — | — | — | $0 – $2 |
| 7 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO | $1 | $1 | — | — | — | $0 – $1 |
| 8 | La Porte Hospital Company LLC La Porte, IN | $0 | $0 | — | — | — | $0 – $1 |
| 9 | Knox Hospital Company LLC Knox, IN | $0 | $0 | — | — | — | $0 – $1 |
| 10 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $1 | $1 | $1 | 85% | — | $1 – $4 |
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