NDC 63323-0401-26
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
Based on 113–158 billing samples across every hospital reporting.
Low
$0
Average
$114
Median
$76
High
$786
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 170 hospitals; the 90th percentile is 19.2× 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 | FHN Memorial Hospital Freeport, IL | $564 | $549 | $89 | 16% | 110–128 | $390 – $701 |
| 2 | UConn Health, Waterbury Hospital Waterbury, CT | $93 | $90 | $27 | 30% | 2–20 | $53 – $131 |
| 3 | Lower Bucks Hospital Bristol, PA | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 4 | Northwestern Memorial Hospital Chicago, IL | $175 | $130 | $63 | 48% | — | $36 – $175 |
| 5 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital McHenry, IL | $84 | $93 | $38 | 41% | — | $34 – $175 |
| 6 | Palos Community Hospital Palos Heights, IL | $115 | $101 | $49 | 49% | — | $24 – $153 |
| 7 | Sanford Fargo Medical Center Fargo, ND | $77 | $70 | $30 | 43% | — | $3 – $99 |
| 8 | Sanford Medical Center Bismarck Bismarck, ND | $55 | $54 | $15 | 27% | — | $24 – $68 |
| 9 | Sanford USD Medical Center Sioux Falls, SD | $285 | $243 | $124 | 51% | — | $3 – $373 |
| 10 | Sanford Aberdeen Medical Center Aberdeen, SD | $83 | $76 | $16 | 21% | — | $44 – $92 |
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