NDC 9470913
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
DEPO-SUBQ PROVERA 104 104 MG/0.65 ML SUBCUTANEOUS SYRINGE
Based on 84–165 billing samples across every hospital reporting.
Low
$77
Average
$1.5k
Median
$487
High
$5.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 23 hospitals; the 90th percentile is 52.0× 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 | Methodist Medical Center of Illinois Peoria, IL | $91 | $78 | $50 | 64% | 77–95 | $1 – $165 |
| 2 | The Carle Foundation Hospital Urbana, IL | $74 | $95 | $77 | 81% | 4–40 | $1 – $209 |
| 3 | Kaiser Sunnyside Medical Center CLACKAMAS, OR | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 4 | Carle BroMenn Medical Center Normal, IL | $49 | $84 | $71 | 85% | 1–10 | $1 – $185 |
| 5 | Richland Memorial Hospital Inc Olney, IL | $118 | $115 | $60 | 52% | 1–10 | $52 – $214 |
| 6 | IOM Health System LP Fort Wayne, IN | $445 | $500 | $184 | 37% | — | $229 – $833 |
| 7 | Dukes Health System LLC Peru, IN | $352 | $378 | $171 | 45% | — | $145 – $782 |
| 8 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $451 | $487 | $172 | 35% | — | $220 – $922 |
| 9 | St. Joseph Health System, LLC Wayne, IN | $500 | $539 | $199 | 37% | — | $209 – $870 |
| 10 | Natchez Hospital Company LLC Natchez, MS | $1.3k | $1.8k | $1.3k | 76% | — | $217 – $4.3k |
Ask Claude or any MCP client for NDC 9470913 pricing at a specific hospital — see how to connect.