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
Low
$2
Average
$110
Median
$82
High
$549
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. 151 hospitals; the 90th percentile is 15.8× 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 | FHN Memorial Hospital Freeport, IL | $564 | $549 | $89 | 16% | 110–128 | $390 – $701 |
| 2 | Lower Bucks Hospital Bristol, PA | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 3 | Northwestern Memorial Hospital Chicago, IL | $175 | $130 | $63 | 48% | — | $36 – $175 |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital McHenry, IL | $84 | $93 | $38 | 41% | — | $34 – $175 |
| 5 | Palos Community Hospital Palos Heights, IL | $115 | $101 | $49 | 49% | — | $24 – $153 |
| 6 | Sanford Fargo Medical Center Fargo, ND | $77 | $75 | $25 | 33% | — | $3 – $99 |
| 7 | Sanford Medical Center Bismarck Bismarck, ND | $55 | $54 | $15 | 27% | — | $24 – $68 |
| 8 | Sanford USD Medical Center Sioux Falls, SD | $291 | $274 | $94 | 34% | — | $3 – $373 |
| 9 | Sanford Aberdeen Medical Center Aberdeen, SD | $83 | $76 | $16 | 21% | — | $44 – $92 |
| 10 | Sanford Sheldon Medical Center Sheldon, IA | $65 | $65 | $22 | 33% | — | $29 – $90 |
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