NDC 65145-0124-01
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
UNCLASSIFIED DRUGS
Low
$0
Average
$9
Median
$2
High
$45
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 27 hospitals; the 90th percentile is 55.7× 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 | $9 | $8 | $1 | 16% | 110–128 | $6 – $11 |
| 2 | Sanford Fargo Medical Center Fargo, ND | $15 | $14 | $5 | 33% | 1–10 | $0 – $19 |
| 3 | Sanford Wheaton Wheaton, MN | $27 | $23 | $5 | 24% | 1–10 | $7 – $29 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA | $38 | $35 | $8 | 24% | — | $0 – $43 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA | $38 | $33 | $10 | 29% | — | $0 – $43 |
| 6 | UPMC Lititz Lititz, PA | $0 | $0 | $0 | 39% | — | $0 – $1 |
| 7 | UPMC Memorial York, PA | $0 | $1 | $0 | 38% | — | $0 – $1 |
| 8 | UPMC Hanover Hanover, PA | $1 | $1 | $0 | 34% | — | $0 – $1 |
| 9 | UPMC Carlisle Carlisle, PA | $0 | $0 | $0 | 39% | — | $0 – $1 |
| 10 | UPMC Pinnacle Hospitals Harrisburg, PA | $0 | $1 | $0 | 44% | — | $0 – $1 |
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