NDC 70004-0920-59
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
COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED
Reported by 2 hospitals in the network under the case rate methodology.
Low
$54
Average
$243
Median
$243
High
$431
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | San Joaquin Community Hospital Bakersfield, CA | $56 | $54 | $3 | 5% | — | $40 – $329 |
| 2 | Boston Medical Center Boston, MA | $431 | $431 | — | — | — | $3 – $513 |
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