NDC 55513-0924-91
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
FILGR0.3MG/0.5MLPDSYRJWTB
Low
$1
Average
$427
Median
$1
High
$4.5k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 26 hospitals; the 90th percentile is 1115.8× 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 Long Beach, CA | $1 | $1 | $0 | 6% | — | $1 – $3.0k |
| 2 | Trinity Hospital Holding Company Steubenville, OH | $1 | $1 | $1 | 74% | — | $1 – $763 |
| 3 | University of Arkansas for Medical Sciences Little Rock, AR | $887 | $887 | — | — | — | $1 – $887 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1.2k | $1.1k | $397 | 38% | — | $1 – $1.2k |
| 5 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $1.2k | $1.2k | — | — | — | $203 – $1.2k |
| 6 | Lancaster General Health Lancaster, PA | $3 | $4.5k | $6.4k | 141% | — | $1 – $13.5k |
| 7 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA | $1.2k | $1.0k | $447 | 45% | — | $1 – $1.2k |
| 8 | The Chester County Hospital West Chester, PA | $1.2k | $1.2k | — | — | — | $276 – $1.2k |
| 9 | Texas Health Presbyterian Hospital Dallas Dallas, TX | $1 | $1 | $0 | 4% | — | $1 – $1.1k |
| 10 | Texas Health Arlington Memorial Hospital Arlington, TX | $1 | $1 | $0 | 4% | — | $1 – $1.1k |
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