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
Low
$0
Average
$144
Median
$14
High
$10.3k
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 238 hospitals; the 90th percentile is 11.1× 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 | 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 | $37 | $37 | $10 | 28% | 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 | $4 | $1 | 27% | — | $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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