NDC 64679-0728-08
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 SUCCINATE 6 MG 0 5ML SC SOLN
Reported by 14 hospitals in the network under the other methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$23
Average
$119
Median
$88
High
$213
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. 14 hospitals; the 90th percentile is 2.8× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Deaconess Health System Henderson Hospital | Henderson, KY | $23 | $23 | — | 1–10 | $23 | $280 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $230 | $176 | $88 | — | $29 | $255 |
| 3 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $255 | $213 | $71 | — | $26 | $255 |
| 4 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $255 | $212 | $72 | — | $26 | $255 |
| 5 | The Chester County Hospital | West Chester, PA | $255 | $185 | $81 | — | $26 | $255 |
| 6 | Penn Medicine Princeton Medical Center | Plainsboro, NJ | $255 | $180 | $101 | — | $24 | $255 |
| 7 | Baptist Healthcare System Inc. | Louisville, KY | $66 | $88 | $29 | — | $7 | $128 |
| 8 | Baptist Healthcare System Inc | Lexington, KY | $66 | $91 | $32 | — | $6 | $185 |
| 9 | Baptist Healthcare System Inc | Grange, KY | $66 | $88 | $29 | — | $6 | $177 |
| 10 | Baptist Healthcare System Inc | Paducah, KY | $66 | $88 | $29 | — | $5 | $128 |
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