NDC 63037-0100-05
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
COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED
Reported by 20 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$44
Median
$6
High
$631
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 26.7× 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 | Glendale Adventist Medical Center Glendale, CA | $469 | $631 | $268 | 42% | — | $125 – $1.0k |
| 2 | Adventist Health Mendocino Coast Bragg, CA | $119 | $119 | $60 | 50% | — | $22 – $179 |
| 3 | The University of Texas Medical Branch Galveston, TX | $11 | $12 | $3 | 29% | — | $5 – $371 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $13 | $36 | 286% | — | $1 – $126 |
| 5 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $1 | $9 | $30 | 329% | — | $1 – $126 |
| 6 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA | $1 | $11 | $31 | 289% | — | $1 – $126 |
| 7 | The Chester County Hospital West Chester, PA | $1 | $26 | $46 | 175% | — | $1 – $126 |
| 8 | Penn Medicine Princeton Medical Center Plainsboro, NJ | $1 | $17 | $41 | 249% | — | $1 – $126 |
| 9 | Methodist University Hospital MEMPHIS, TN | $10 | $15 | $11 | 70% | — | $10 – $37 |
| 10 | MultiCare Yakima Valley Memorial Hospital Association Yakima, WA | $2 | $2 | — | — | — | $2 – $11 |
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