NDC 64980-0427-12
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
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
Based on 132 billing samples across every hospital reporting.
Low
$2
Average
$65
Median
$34
High
$448
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 52 hospitals; the 90th percentile is 24.9× 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 | FHN Memorial Hospital Freeport, IL | $8 | $8 | $1 | 16% | 132 | $6 – $10 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA | $2 | $2 | $0 | 24% | — | $1 – $2 |
| 3 | Central Iowa Hospital Corporation Des Moines, IA | $2 | $2 | $0 | 29% | — | $1 – $2 |
| 4 | Sanford Medical Center Bismarck Bismarck, ND | $5 | $5 | $1 | 27% | — | $2 – $6 |
| 5 | Alegent Creighton Health Omaha, NE | $75 | $72 | $28 | 38% | — | $20 – $106 |
| 6 | Alegent Creighton Health Papillion, NE | $75 | $73 | $27 | 37% | — | $22 – $106 |
| 7 | Alegent Health Bergan Mercy Health System Omaha, NE | $90 | $75 | $29 | 39% | — | $21 – $106 |
| 8 | Alegent Health Immanuel Medical Center Omaha, NE | $75 | $73 | $27 | 37% | — | $17 – $106 |
| 9 | Alegent Health - Mercy Hospital, Corning Iowa Corning, IA | $119 | $116 | $30 | 26% | — | $53 – $276 |
| 10 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $75 | $75 | $24 | 33% | — | $19 – $106 |
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