NDC 70842-0140-01
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
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)
Based on 130–220 billing samples across every hospital reporting.
Low
$28
Average
$1.8k
Median
$1.4k
High
$6.2k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 171 hospitals; the 90th percentile is 77.5× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Peter's Health Helena, MT | $29 | $29 | — | — | 120 | $29 – $29 |
| 2 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $55 | $936 | $1.5k | 159% | 3–30 | $24 – $4.2k |
| 3 | Alegent Health Bergan Mercy Health System Omaha, NE | $55 | $954 | $1.5k | 157% | 2–20 | $24 – $4.2k |
| 4 | Alegent Creighton Health Omaha, NE | $55 | $945 | $1.5k | 158% | 1–10 | $24 – $4.2k |
| 5 | Alegent Health Immanuel Medical Center Omaha, NE | $55 | $954 | $1.5k | 157% | 1–10 | $24 – $4.2k |
| 6 | Saint Joseph Health System, Inc Lexington, KY | $1.0k | $1.2k | $1.1k | 92% | 1–10 | $28 – $3.4k |
| 7 | Saint Joseph Health System, Inc London, KY | $17 | $28 | $26 | 92% | 1–10 | $4 – $75 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $4.2k | $4.3k | $997 | 23% | 1–10 | $1.0k – $6.0k |
| 9 | Meriter Hospital, Inc Madison, WI | $29 | $28 | $11 | 41% | — | $14 – $56 |
| 10 | Central Iowa Hospital Corporation Des Moines, IA | $29 | $29 | $8 | 28% | — | $12 – $48 |
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