NDC 71258-0022-01
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
PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION
Low
$346
Average
$3.7k
Median
$4.7k
High
$10.0k
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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. 32 hospitals; the 90th percentile is 18.0× 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $9.0k | $9.1k | $3.5k | 38% | — | $340 – $14.3k |
| 2 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $4.9k | $5.9k | $3.1k | 53% | — | $329 – $16.6k |
| 3 | St Mary Mercy Livonia Livonia, MI | $3.7k | $5.2k | $4.1k | 80% | — | $340 – $17.3k |
| 4 | St Joseph Mercy Oakland Pontiac, MI | $4.2k | $5.4k | $3.6k | 66% | — | $340 – $16.6k |
| 5 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI | $6.5k | $7.4k | $2.9k | 39% | — | $329 – $16.6k |
| 6 | St Peters Hospital Albany, NY | $3.4k | $3.9k | $1.9k | 50% | — | $340 – $13.2k |
| 7 | Mount Carmel Grove City Grove City, OH | $4.7k | $4.7k | $121 | 3% | — | $305 – $11.6k |
| 8 | Mount Carmel St Ann's Westerville, OH | $4.7k | $4.7k | $121 | 3% | — | $305 – $11.6k |
| 9 | Mount Carmel East Columbus, OH | $4.7k | $4.7k | $121 | 3% | — | $305 – $11.6k |
| 10 | Vanderbilt Wilson County Hospital Lebanon, TN | $3.7k | $5.1k | $2.7k | 52% | — | $0 – $10.9k |
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