NDC 81284-0411-10
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
DHE-45 1ML AMPULE
Low
$52
Average
$139
Median
$156
High
$203
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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. 25 hospitals; the 90th percentile is 2.6× 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 | Northside Hospital, Inc. Lawrenceville, GA | $68 | $114 | $82 | 72% | — | $25 – $386 |
| 2 | Northside Hospital, Inc. Canton, GA | $69 | $117 | $84 | 72% | — | $25 – $386 |
| 3 | Northside Hospital, Inc. Atlanta, GA | $69 | $119 | $84 | 71% | — | $25 – $386 |
| 4 | Northside Hospital, Inc. Duluth, GA | $68 | $116 | $81 | 70% | — | $25 – $386 |
| 5 | Northside Hospital, Inc. Cumming, GA | $69 | $117 | $85 | 73% | — | $25 – $386 |
| 6 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $47 | $52 | $28 | 54% | — | $24 – $220 |
| 7 | Hospital Service District Of The Parish Of St. Bernard, State Of Louisiana Chalmette, LA | $52 | $52 | — | — | — | $52 – $124 |
| 8 | USC Arcadia Hospital Arcadia, CA | $193 | $193 | $28 | 14% | — | $86 – $379 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $199 | $168 | $86 | 51% | — | $28 – $249 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $249 | $203 | $71 | 35% | — | $34 – $249 |
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