0555-9018-58 (NDC) — raw rate rows

NDC · raw rates

0555-9018-58 — Norgestimate-ethinyl Estradiol 0.18mg/0.215mg/0.25mg-0.035mg(28)tablet [10750]

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $620

Usually $620–$620 (25th–75th percentile) across 1 hospital · 5 payers.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 0555-9018-58 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source
LINDNER CENTER OF HOPE Inpatient	ANTHEM	All Plans	—	$67.70	$396.19	2024-12-01	MRF ↗
LINDNER CENTER OF HOPE Inpatient	HUMANA	All Plans	—	$67.70	$396.19	2024-12-01	MRF ↗
LINDNER CENTER OF HOPE Inpatient	Ohio Health Choice	All Plans	—	$67.70	$396.19	2024-12-01	MRF ↗
LINDNER CENTER OF HOPE Inpatient	United Behavioral Health	All Plans	—	$67.70	$396.19	2024-12-01	MRF ↗
LINDNER CENTER OF HOPE Inpatient	Medical Mutual Ohio	All Plans	—	$67.70	$396.19	2024-12-01	MRF ↗