NDC 67108-3565-09
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
mesna 400 mg Tab
Low
$60
Average
$924
Median
$439
High
$2.7k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 17 hospitals; the 90th percentile is 27.4× 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 | Ukiah Adventist Hospital Ukiah, CA | $349 | $349 | — | — | — | $133 – $349 |
| 2 | Alegent Creighton Health Omaha, NE | $1.7k | $1.6k | $627 | 38% | — | $453 – $2.4k |
| 3 | Alegent Creighton Health Papillion, NE | $1.7k | $1.7k | $613 | 37% | — | $510 – $2.4k |
| 4 | Alegent Health Bergan Mercy Health System Omaha, NE | $2.1k | $1.7k | $668 | 39% | — | $482 – $2.4k |
| 5 | Alegent Health Immanuel Medical Center Omaha, NE | $1.7k | $1.7k | $616 | 37% | — | $397 – $2.4k |
| 6 | Alegent Health - Mercy Hospital, Corning Iowa Corning, IA | $2.7k | $2.7k | $695 | 26% | — | $1.2k – $6.3k |
| 7 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $1.7k | $1.7k | $555 | 33% | — | $425 – $2.4k |
| 8 | Alegent Health Bergan Mercy Health System Omaha, NE | $1.7k | $1.7k | $608 | 37% | — | $482 – $2.4k |
| 9 | Memorial Medical Center San Augustine San Augustine, TX | $66 | $63 | $27 | 43% | — | $17 – $98 |
| 10 | Memorial Health System Of East Texas Lufkin, TX | $62 | $60 | $20 | 34% | — | $24 – $94 |
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