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
$70
Median
$1
High
$4.3k
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. 156 hospitals; the 90th percentile is 170.0× 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 | $5 | $453 | $937 | 207% | — | $1 – $3.7k |
| 2 | Trinity Hospital Holding Company Steubenville, OH | $1 | $241 | $342 | 142% | — | $1 – $763 |
| 3 | Sartori Memorial Hospital Inc Cedar Falls, IA | $297 | $299 | $10 | 3% | — | $1 – $1.5k |
| 4 | Northside Hospital, Inc. Lawrenceville, GA | $1 | $40 | $266 | 665% | — | $1 – $1.9k |
| 5 | Northside Hospital, Inc. Canton, GA | $1 | $39 | $263 | 672% | — | $1 – $1.9k |
| 6 | Northside Hospital, Inc. Atlanta, GA | $1 | $39 | $263 | 672% | — | $1 – $1.9k |
| 7 | Northside Hospital, Inc. Duluth, GA | $1 | $40 | $266 | 665% | — | $1 – $1.9k |
| 8 | Northside Hospital, Inc. Cumming, GA | $1 | $40 | $266 | 665% | — | $1 – $1.9k |
| 9 | MaineHealth Rockport, ME | $1 | $1 | $1 | 57% | — | $1 – $1.3k |
| 10 | Sharp Chula Vista Medical Center Chula Vista, CA | $1 | $1 | $0 | 7% | — | $1 – $4.7k |
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