NDC 63361-0243-15
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
DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG
Reported by 128 hospitals in the network.
Based on 231–492 billing samples across every hospital reporting.
Low
$50
Average
$485
Median
$309
High
$5.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 128 hospitals; the 90th percentile is 3.7× 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 | Boston Children's Hospital Boston, MA | $539 | $520 | $121 | 23% | 110 | $10 – $688 |
| 2 | Fairview Health Services Minneapolis, MN | $162 | $189 | $100 | 53% | 86–284 | $50 – $575 |
| 3 | Winneshiek Medical Center Decorah, IA | $246 | $181 | $92 | 50% | 31–58 | $19 – $261 |
| 4 | HealthEast St John's Hospital Maplewood, MN | $182 | $219 | $116 | 53% | 2–20 | $50 – $575 |
| 5 | Fairview Health Services Wyoming, MN | $175 | $212 | $113 | 53% | 2–20 | $50 – $575 |
| 6 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $118 | $118 | $38 | 32% | — | $32 – $172 |
| 7 | University of Iowa Health Care Medical Center Iowa City, IA | $118 | $118 | $36 | 31% | — | $47 – $172 |
| 8 | Sanford Fargo Medical Center Fargo, ND | $398 | $365 | $141 | 39% | — | $149 – $510 |
| 9 | Sanford Medical Center Bismarck Bismarck, ND | $159 | $168 | $26 | 16% | — | $100 – $195 |
| 10 | Sanford USD Medical Center Sioux Falls, SD | $347 | $313 | $121 | 39% | — | $149 – $454 |
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