NDC 72140-0038-68
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
Based on 136–199 billing samples across every hospital reporting.
Low
$0
Average
$94
Median
$15
High
$4.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 266 hospitals; the 90th percentile is 12.4× 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 | FHN Memorial Hospital Freeport, IL | $6 | $6 | $1 | 16% | 110–128 | $4 – $8 |
| 2 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA | $16 | $19 | $29 | 156% | 22–31 | $4 – $185 |
| 3 | Simi Valley Hospital And Health Care Services Valley, CA | $36 | $38 | $12 | 32% | 1–10 | $18 – $73 |
| 4 | Temple University Hospital - Jeanes Campus Philadelphia, PA | $11 | $29 | $85 | 293% | 1–10 | $4 – $478 |
| 5 | Temple University Hospital - Fox Chase Campus Philadelphia, PA | $16 | $15 | $7 | 45% | 1–10 | $4 – $31 |
| 6 | Temple University Hospital - Northeastern Campus Philadelphia, PA | $11 | $28 | $76 | 267% | 1–10 | $4 – $400 |
| 7 | The Finley Hospital Dubuque, IA | $4 | $39 | $83 | 211% | — | $3 – $235 |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $28 | $29 | $13 | 43% | — | $7 – $51 |
| 9 | Northwestern Memorial Hospital Chicago, IL | $30 | $31 | $16 | 52% | — | $6 – $62 |
| 10 | Northwestern Medicine Delnor Hospital Geneva, IL | $39 | $37 | $14 | 37% | — | $10 – $62 |
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