NDC 63323-0403-02
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
63323-0403-02 - fosphenytoin 100 mg PE/2 mL Soln
Low
$0
Average
$1.1k
Median
$21
High
$10.5k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 32 hospitals; the 90th percentile is 2503.7× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $32 | $32 | — | — | — | $30 – $160 |
| 2 | Natchez Hospital Company LLC Natchez, MS | $1 | $1 | — | — | — | $1 – $3 |
| 3 | Northwest Sahurita Hospital LLC Tucson, AZ | $1 | $1 | $0 | 1% | — | $1 – $3 |
| 4 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $1 | $1 | $0 | 1% | — | $1 – $3 |
| 5 | Oro Valley Hospital LLC Tucson, AZ | $1 | $1 | $0 | 1% | — | $1 – $3 |
| 6 | Northwest Hospital LLC Tucson, AZ | $1 | $1 | $0 | 1% | — | $1 – $3 |
| 7 | Jefferson County HMA LLC Jefferson City, TN | $1 | $1 | — | — | — | $1 – $3 |
| 8 | Metro Knoxville HMA LLC Knoxville, TN | $1 | $1 | — | — | — | $1 – $2 |
| 9 | Triad of Alabama LLC Dothan, AL | $1 | $1 | — | — | — | $1 – $2 |
| 10 | Affinity Hospital LLC Birmingham, AL | $2 | $11 | $15 | 146% | — | $1 – $121 |
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