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 4 hospitals in the network under the case rate methodology.
Low
$10
Average
$444
Median
$440
High
$887
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $10 | $10 | — | — | 110 | $10 – $688 |
| 2 | University of Arkansas for Medical Sciences Little Rock, AR | $887 | $887 | — | — | — | $167 – $887 |
| 3 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 4 | Boston Medical Center Boston, MA | $431 | $431 | — | — | — | $178 – $513 |
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