NDC 58394-0012-01

Antihem Factor Recomb (rFVIII) 250 units Kit 250 Units Box

Reported by 133 hospitals in the network under the fee schedule methodology.

National pricing summary

Low

Average

$72

Median

High

$2.0k

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects negotiated fee schedule rates with commercial payers.

Price distribution

Fee schedule methodology

Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 133 hospitals; the 90th percentile is 13.6× 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.

Hospitals reporting NDC 58394-0012-01

#	Hospital	Location
1	Geisinger Community Medical Center	Scranton, PA	$2	$2	$1	—	$1	$18
2	Kaiser Foundation Hospital - Los Angeles	LOS ANGELES, CA	$2	$2	$0	—	$2	$3
3	Kaiser Foundation Hospital - Fontana	FONTANA, CA	$2	$2	$0	—	$2	$3
4	Kaiser Foundation Hospital - Baldwin Park	BALDWIN PARK, CA	$2	$2	$0	—	$2	$3
5	Kaiser Foundation Hospital - Downey	Downey, CA	$2	$2	$0	—	$2	$3
6	Kaiser Foundation Hospital - Riverside	RIVERSIDE, CA	$2	$2	$0	—	$2	$3
7	Kaiser Foundation Hospital - West La	LOS ANGELES, CA	$2	$2	$0	—	$2	$3
8	Kaiser Foundation Hospital - Orange County - Anaheim	Anaheim, CA	$2	$2	$0	—	$2	$3
9	Kaiser Foundation Hospital - South Bay	HARBOR CITY, CA	$2	$2	$0	—	$2	$3
10	Kaiser Foundation Hospital - Woodland Hills	WOODLAND HILLS, CA	$2	$2	$0	—	$2	$3

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