NDC 55513-0209-91
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
FILGRA0.48MG/0.8MLSYRJWTB
Reported by 171 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$255
Median
$1
High
$4.3k
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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. 171 hospitals; the 90th percentile is 841.6× 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 | Dignity Community Care Woodland, CA | $14 | $746 | $907 | 122% | 1–10 | $1 – $2.4k |
| 2 | Trinity Medical Center Rock Island, IL | $1 | $1 | $1 | 37% | — | $1 – $3 |
| 3 | Trinity Medical Center Bettendorf, IA | $1 | $1 | $0 | 26% | — | $1 – $2 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | $0 | 5% | — | $1 – $1.7k |
| 5 | Dignity Health Redding, CA | $2 | $908 | $1.2k | 131% | — | $1 – $2.7k |
| 6 | Franciscan Health System Tacoma, WA | $2.4k | $2.3k | $1.6k | 69% | — | $1 – $4.9k |
| 7 | Harrison Medical Center Silverdale, WA | $2.7k | $2.5k | $1.9k | 77% | — | $1 – $5.9k |
| 8 | Enumclaw Regional Hospital Association Enumclaw, WA | $1.1k | $1.3k | $1.2k | 90% | — | $1 – $5.9k |
| 9 | Highline Medical Center Burien, WA | $2.4k | $2.8k | $1.2k | 44% | — | $1 – $5.9k |
| 10 | Franciscan Health System Gig Harbor, WA | $2.4k | $2.3k | $1.6k | 69% | — | $1 – $4.9k |
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