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
Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr
Reported by 85 hospitals in the network under the fee schedule methodology.
Low
$36
Average
$257
Median
$245
High
$928
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 85 hospitals; the 90th percentile is 5.1× 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 | Sanford Fargo Medical Center Fargo, ND | $159 | $156 | $5 | 3% | — | $149 – $510 |
| 2 | Sanford Medical Center Bismarck Bismarck, ND | $159 | $159 | — | — | — | $100 – $195 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $159 | $155 | $5 | 3% | — | $149 – $454 |
| 4 | Sanford Worthington Medical Center Worthington, MN | $149 | $149 | — | — | — | $104 – $256 |
| 5 | Winneshiek Medical Center Decorah, IA | $57 | $50 | $19 | 38% | — | $19 – $261 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Ochsner Clinic Foundation Orleans, LA | $0 | $37 | $74 | 200% | — | $0 – $711 |
| 8 | University Health Shreveport, Llc Shreveport, LA | $0 | $37 | $74 | 200% | — | $0 – $395 |
| 9 | Brfhh Monroe, Llc Monroe, LA | $0 | $37 | $74 | 200% | — | $0 – $395 |
| 10 | Southern Regional Medical Corporation Houma, LA | $0 | $36 | $72 | 200% | — | $0 – $373 |
Ask Claude or any MCP client for NDC 63361-0243-15 pricing at a specific hospital — see how to connect.