NDC 55150-0370-24
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
$3
Average
$75
Median
$74
High
$226
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 44 hospitals; the 90th percentile is 34.2× 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 | FHN Memorial Hospital Freeport, IL | $232 | $226 | $37 | 16% | 110–128 | $161 – $288 |
| 2 | Saint Luke’s East Hospital Summit, MO | $88 | $96 | $53 | 56% | 2–20 | $3 – $264 |
| 3 | Penn State Health Milton S. Hershey Medical Center Hershey, PA | $3 | $3 | $1 | 30% | — | $1 – $4 |
| 4 | St Joseph Regional Health Network Reading, PA | $4 | $3 | $1 | 21% | — | $1 – $4 |
| 5 | Penn State Health Hampden Medical Center Enola, PA | $4 | $3 | $1 | 21% | — | $1 – $4 |
| 6 | Penn State Health Holy Spirit Medical Center Camp Hill, PA | $4 | $3 | $1 | 23% | — | $1 – $4 |
| 7 | Penn State Health Lancaster Medical Center Lancaster, PA | $3 | $3 | $1 | 22% | — | $1 – $4 |
| 8 | Indiana University Health West Hospital Inc. Avon, IN | $75 | $75 | $16 | 21% | — | $1 – $106 |
| 9 | Indiana University Health North Hospital Inc. Carmel, IN | $75 | $75 | $16 | 21% | — | $1 – $106 |
| 10 | Indiana University Health Inc. Indianapolis, IN | $75 | $75 | $16 | 21% | — | $1 – $106 |
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