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
DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY
Reported by 11 hospitals in the network under the other methodology.
Low
$123
Average
$200
Median
$223
High
$285
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 1.8× 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 | Fairview Health Services Minneapolis, MN | $163 | $146 | $47 | 32% | 57–201 | $50 – $575 |
| 2 | HealthEast St John's Hospital Maplewood, MN | $243 | $243 | — | — | 2–20 | $50 – $575 |
| 3 | Fairview Health Services Wyoming, MN | $143 | $143 | — | — | 1–10 | $50 – $575 |
| 4 | Ochsner Clinic Foundation Orleans, LA | $224 | $285 | $182 | 64% | — | $0 – $711 |
| 5 | University Health Shreveport, Llc Shreveport, LA | $278 | $237 | $120 | 51% | — | $0 – $395 |
| 6 | Brfhh Monroe, Llc Monroe, LA | $244 | $223 | $127 | 57% | — | $0 – $395 |
| 7 | Southern Regional Medical Corporation Houma, LA | $119 | $160 | $80 | 50% | — | $0 – $373 |
| 8 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc Shreveport, LA | $213 | $226 | $116 | 51% | — | $0 – $369 |
| 9 | Lafayette General Medical Center Inc Lafayette, LA | $97 | $157 | $105 | 67% | — | $0 – $474 |
| 10 | University Hospital & Clinics, Inc. Lafayette, LA | $158 | $252 | $143 | 57% | — | $0 – $555 |
Ask Claude or any MCP client for NDC 63361-0243-15 pricing at a specific hospital — see how to connect.