NDC 55150017305

SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN

Reported by 26 hospitals in the network under the fee schedule methodology.

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Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$19

Average

$86

Median

$83

High

$251

#	Hospital	Location
1	Allen Memorial Hospital Corporation	Waterloo, IA	$49	$49	—	—	$41	$71
2	University of Arkansas for Medical Sciences	Little Rock, AR	$37	$37	—	—	$30	$887
3	The University of Texas Southwestern Medical Center at Dallas	Dallas, TX	$70	$73	$20	—	$8	$104
4	Caldwell Memorial Hospital	Lenoir, NC	$251	$251	$195	—	$15	$446
5	Midwestern Regional Medical Center, Inc.	Zion, IL	$82	$85	$39	—	$39	$463
6	The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania	Philadelphia, PA	$40	$46	$15	—	$4	$84
7	Pennsylvania Hospital of the University of Pennsylvania Health System	Philadelphia, PA	$40	$46	$17	—	$5	$84
8	Lancaster General Health	Lancaster, PA	$22	$19	$5	—	$4	$13.5k
9	Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center	Philadelphia, PA	$40	$40	$17	—	$5	$84
10	The Chester County Hospital	West Chester, PA	$33	$28	$13	—	$7	$40

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