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 22 hospitals in the network under the percent of billed charges methodology.
Low
$1
Average
$535
Median
$1
High
$2.6k
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. 22 hospitals; the 90th percentile is 1973.8× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | White Memorial Medical Center Angeles, CA | $96 | $106 | $37 | 35% | 353–425 | $44 – $675 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $596 | $586 | $268 | 46% | — | $0 – $993 |
| 3 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN | $1 | $1 | $0 | 32% | — | $1 – $2 |
| 4 | Essentia Health St Marys Hospital-Superior 3500 Tower Ave Superior, WI | $1 | $1 | $0 | 37% | — | $1 – $2 |
| 5 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN | $1 | $1 | $0 | 27% | — | $1 – $2 |
| 6 | Essentia Health Ada 201 9th St W Ada, MN | $1 | $1 | $0 | 27% | — | $1 – $2 |
| 7 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN | $1 | $1 | $0 | 25% | — | $1 – $2 |
| 8 | Essentia Health Holy Trinity Hospital Graceville, MN | $1 | $1 | $0 | 20% | — | $1 – $2 |
| 9 | Essentia Health Duluth Duluth, MN | $1 | $1 | $0 | 24% | — | $1 – $2 |
| 10 | Essentia Health St. Mary's Children's Hospital Duluth, MN | $1 | $1 | $0 | 24% | — | $1 – $2 |
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