NDC 58160-0812-43
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
DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE
Low
$0
Average
$193
Median
$146
High
$665
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 101 hospitals; the 90th percentile is 10.5× 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 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA | $124 | $141 | $70 | 50% | 22–31 | $22 – $331 |
| 2 | The Carle Foundation Hospital Urbana, IL | $50 | $46 | $25 | 55% | 2–20 | $9 – $180 |
| 3 | Lucile Salter Packard Children's Hospital At Stanford PALO ALTO, CA | $295 | $292 | $6 | 2% | 1–10 | $283 – $297 |
| 4 | Temple University Hospital - Jeanes Campus Philadelphia, PA | $113 | $149 | $94 | 63% | 1–10 | $40 – $478 |
| 5 | Temple University Hospital - Fox Chase Campus Philadelphia, PA | $142 | $147 | $73 | 50% | 1–10 | $21 – $331 |
| 6 | Temple University Hospital - Northeastern Campus Philadelphia, PA | $113 | $147 | $87 | 59% | 1–10 | $40 – $400 |
| 7 | Carle BroMenn Medical Center Normal, IL | $57 | $44 | $22 | 49% | 1–10 | $9 – $86 |
| 8 | Saint Luke’s Hospital of Trenton Trenton, MO | $116 | $116 | $20 | 17% | 1–10 | $49 – $141 |
| 9 | Northwestern Memorial Hospital Chicago, IL | $660 | $665 | $280 | 42% | — | $221 – $943 |
| 10 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $636 | $654 | $191 | 29% | — | $173 – $943 |
Ask Claude or any MCP client for NDC 58160-0812-43 pricing at a specific hospital — see how to connect.