NDC 54643-5647-00
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
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
Low
$1
Average
$135
Median
$63
High
$886
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. 12 hospitals; the 90th percentile is 19.9× 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 | Scotland Memorial Hospital Inc. Laurinburg, NC | $4 | $5 | $6 | 128% | 8,529–8,556 | $0 – $24 |
| 2 | Dignity Community Care Northridge, CA | $36 | $43 | $24 | 55% | — | $16 – $82 |
| 3 | Dignity Community Care Los Angeles, CA | $80 | $66 | $28 | 42% | — | $29 – $116 |
| 4 | Dignity Community Care Chandler, AZ | $70 | $77 | $41 | 53% | — | $25 – $151 |
| 5 | Dignity Health Santa Cruz, CA | $144 | $135 | $30 | 22% | — | $49 – $169 |
| 6 | Dignity Health Gilbert, AZ | $70 | $75 | $37 | 50% | — | $25 – $139 |
| 7 | Dignity Health Santa Maria, CA | $189 | $172 | $40 | 24% | — | $95 – $212 |
| 8 | Dignity Health Phoenix, AZ | $60 | $58 | $22 | 38% | — | $12 – $85 |
| 9 | Sharp Chula Vista Medical Center Chula Vista, CA | $1 | $1 | — | — | — | $0 – $2 |
| 10 | Grossmont Hospital Corporation La Mesa, CA | $60 | $60 | $59 | 98% | — | $0 – $120 |
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