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
HYLAN G-F 20 16 MG/2ML IX SOSY
Reported by 278 hospitals in the network under the percent of billed charges methodology.
Based on 186–222 billing samples across every hospital reporting.
Low
$26
Average
$842
Median
$718
High
$4.0k
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. 278 hospitals; the 90th percentile is 22.8× 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 | St Luke's McCall, LTD | McCall, ID | $875 | $796 | $157 | 122 | $569 | $955 |
| 2 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $1.4k | $1.4k | $262 | 48 | $8 | $2.0k |
| 3 | Saint Luke’s Hospital of Chillicothe | Chillicothe, MO | $1.7k | $1.4k | $641 | 13–22 | $680 | $2.2k |
| 4 | Baptist Healthcare System Inc | Albany, IN | $89 | $88 | $36 | 2–20 | $8 | $266 |
| 5 | Baptist Healthcare System Inc | Corbin, KY | $84 | $81 | $61 | 1–10 | $8 | $354 |
| 6 | St Luke's Methodist Hospital | Cedar Rapids, IA | $23 | $27 | $6 | — | $9 | $34 |
| 7 | Trinity Medical Center | Rock Island, IL | $28 | $27 | $6 | — | $9 | $33 |
| 8 | Trinity Medical Center | Bettendorf, IA | $25 | $26 | $6 | — | $9 | $33 |
| 9 | University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $1.0k | $1.1k | $285 | — | $8 | $1.5k |
| 10 | University of Iowa Health Care Medical Center | Iowa City, IA | $1.0k | $1.1k | $280 | — | $8 | $1.5k |
Ask Claude or any MCP client for NDC 58468-0090-01 pricing at a specific hospital — see how to connect.