NDC 55513-0924-01
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
FILGR0.3MG/0.5MLSYRJWPCTB
Low
$1
Average
$49
Median
$1
High
$999
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. 129 hospitals; the 90th percentile is 81.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dignity Health Phoenix, AZ | $1 | $228 | $333 | 146% | 4–40 | $1 – $901 |
| 2 | Agh Laveen Llc Phoenix, AZ | $1 | $285 | $634 | 223% | — | $1 – $2.0k |
| 3 | Agh Mesa Llc Mesa, AZ | $1 | $285 | $634 | 223% | — | $1 – $2.0k |
| 4 | Baylor Scott & White Medical Center - Temple Temple, TX | $1 | $1 | $0 | 18% | — | $1 – $1.4k |
| 5 | Baylor Scott & White Medical Center - Brenham Brenham, TX | $1 | $1 | $0 | 5% | — | $1 – $1.4k |
| 6 | Baylor Scott & White Medical Center - Taylor Taylor, TX | $1 | $1 | $0 | 5% | — | $1 – $1.2k |
| 7 | Baylor Scott & White Medical Center - Hillcrest Waco, TX | $1 | $1 | $0 | 17% | — | $1 – $1.1k |
| 8 | Baylor University Medical Center Dallas, TX | $1 | $1 | $0 | 23% | — | $1 – $7.4k |
| 9 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX | $1 | $1 | $0 | 24% | — | $1 – $1.1k |
| 10 | Baylor Scott & White Medical Center - Round Rock Round Rock, TX | $1 | $1 | $0 | 18% | — | $1 – $1.4k |
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