NDC 58394-0012-01

"antihemophilic factor VIII, B-domain deleted 250 (+/-) unit Soln 1 Each KIT"

Reported by 42 hospitals in the network under the other methodology.

National pricing summary

Based on 2–20 billing samples across every hospital reporting.

Low

Average

$106

Median

High

$3.3k

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a payer-specific billing methodology not covered by the standard categories.

Price distribution

Other methodology

Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 42 hospitals; the 90th percentile is 87.3× 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	Norton Hospitals INC	Louisville, KY	$3.3k	$3.3k	—	2–20	$31	$3.3k
2	Kaiser Foundation Hospital - Roseville	ROSEVILLE, CA	$2	$2	$0	—	$2	$3
3	Kaiser Foundation Hospital - Santa Clara	SANTA CLARA, CA	$2	$2	$0	—	$2	$3
4	Kaiser Foundation Hospital - Oakland/richmond	Oakland, CA	$2	$2	$0	—	$2	$3
5	Kaiser Foundation Hospital - Modesto	95356, CA	$2	$2	$0	—	$2	$3
6	Kaiser Foundation Hospital - South Sacramento	SACRAMENTO, CA	$2	$2	$0	—	$2	$3
7	Kaiser Foundation Hospital - Sacramento	SACRAMENTO, CA	$2	$2	$0	—	$2	$3
8	Kaiser Foundation Hospital & Rehab Center - Vallejo	VALLEJO, CA	$2	$2	$0	—	$2	$3
9	Kaiser Foundation Hospital - San Francisco	SAN FRANCISCO, CA	$2	$2	$0	—	$2	$3
10	Kaiser Foundation Hospital - Walnut Creek	WALNUT CREEK, CA	$2	$2	$0	—	$2	$3

Page 1 of 5

Look up this code directly

Ask Claude or any MCP client for NDC 58394-0012-01 pricing at a specific hospital — see how to connect.