NDC 61314-0304-01
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
UNCLASSIFIED DRUGS
Reported by 4 hospitals in the network under the other methodology.
Low
$0
Average
$90
Median
$63
High
$234
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | White Memorial Medical Center Angeles, CA | $234 | $234 | $61 | 26% | — | $44 – $675 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $0 | $126 | $279 | 222% | — | $0 – $993 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $0 | $0 | $0 | 42% | — | $0 – $1 |
| 4 | Holy Name Teaneck, NJ | $0 | $0 | — | — | — | $0 – $0 |
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