NDC 58468-0090-01
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
58468-0090-01 - hylan G-F 20 8 mg/mL 16. Soln
Reported by 20 hospitals in the network under the per diem methodology.
Low
$8
Average
$1.7k
Median
$494
High
$5.0k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 597.6× 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.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC | Peru, IN | $679 | $679 | — | — | $628 | $3.4k |
| 2 | Metro Knoxville HMA LLC | Knoxville, TN | $8 | $8 | — | — | $8 | $22 |
| 3 | Metro Knoxville HMA LLC | Powell, TN | $8 | $8 | — | — | $8 | $22 |
| 4 | East Georgia Regional Medical Center LLC | Statesboro, GA | $454 | $454 | $446 | — | $7 | $900 |
| 5 | Longview Medical Center LP | Longview, TX | $6 | $8 | $3 | — | $6 | $136 |
| 6 | University of North Carolina Hospitals at Chapel Hill | Chapel Hill, NC | $4.5k | $4.5k | — | — | $455 | $4.5k |
| 7 | Children's National Rehabilitation and Specialized Care | Washington, DC | $152 | $152 | — | — | $55 | $163 |
| 8 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $222 | $222 | — | — | $8 | $222 |
| 9 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $199 | $199 | — | — | $8 | $1.6k |
| 10 | Penn Medicine Princeton Medical Center | Plainsboro, NJ | $8 | $8 | — | — | $8 | $14 |
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