NDC 58160084243
Philadelphia, PA
Price type
All methodologies
$105
Case rate
$175
Fee schedule
$39
Per diem
Not reported
Percent of billed charges
$105
Other
$140
Last updated: Feb 10, 2026
See TETANUS DIPHTH ACELL PERTUSSIS 5 2 5 18 5 LF MCG 0 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.