NDC 73475-3102-03
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
EFGARTIGIMOD-HYALURONIDAS-QVFC 1,008 MG-11,200 UNIT/5.6 ML SUBQ SOLN
Reported by 86 hospitals in the network under the other methodology.
Based on 193–265 billing samples across every hospital reporting.
Low
$1
Average
$3.9k
Median
$42
High
$38.8k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 86 hospitals; the 90th percentile is 602.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services | Minneapolis, MN | $16.9k | $16.4k | $1.0k | 127–136 | $28 | $17.3k |
| 2 | HealthEast St John's Hospital | Maplewood, MN | $17.5k | $17.5k | — | 47 | $28 | $17.5k |
| 3 | St Josephs Community Hospital of West Bend Inc | West Bend, WI | $14.8k | $14.8k | — | 12 | $32 | $65.0k |
| 4 | Northside Hospital, Inc. | Canton, GA | $17.2k | $22.7k | $21.1k | 2–20 | $20 | $89.8k |
| 5 | Norton Hospitals INC | Louisville, KY | $19.3k | $19.3k | — | 2–20 | $34 | $102.4k |
| 6 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $34 | $34 | — | 1–10 | $34 | $112.0k |
| 7 | Bexar County Hospital District | San Antonio, TX | $29.3k | $29.3k | — | 1–10 | $34 | $144.8k |
| 8 | Froedtert Memorial Lutheran Hospital Inc | Milwaukee, WI | $16.8k | $16.8k | — | 1–10 | $28 | $58.5k |
| 9 | Mid Columbia Medical Center | Dalles, OR | $35 | $26.4k | $67.0k | — | $34 | $236.3k |
| 10 | San Joaquin Community Hospital | Bakersfield, CA | $34 | $44 | $14 | — | $34 | $208.0k |
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