NDC 64679-0728-01
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
SUMAtriptan 6 mg/0.5 mL Soln-Inj
Reported by 10 hospitals in the network under the case rate methodology.
Low
$52
Average
$223
Median
$197
High
$887
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 6.1× 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 | Northwest Sahurita Hospital LLC Tucson, AZ | $52 | $52 | — | — | — | $6 – $52 |
| 2 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $52 | $52 | — | — | — | $7 – $52 |
| 3 | Oro Valley Hospital LLC Tucson, AZ | $52 | $52 | — | — | — | $6 – $52 |
| 4 | Northwest Hospital LLC Tucson, AZ | $52 | $52 | — | — | — | $6 – $52 |
| 5 | Uniontown Hospital Uniontown, PA | $172 | $172 | — | — | — | $108 – $172 |
| 6 | University of Arkansas for Medical Sciences Little Rock, AR | $887 | $887 | — | — | — | $30 – $887 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $255 | $233 | $60 | 26% | — | $29 – $255 |
| 8 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $255 | $255 | — | — | — | $43 – $255 |
| 9 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA | $255 | $222 | $73 | 33% | — | $26 – $255 |
| 10 | The Chester County Hospital West Chester, PA | $255 | $255 | — | — | — | $59 – $255 |
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