5024255401 (NDC) by state — Price Transparency

NDC · across United States

5024255401 — Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$14,183 National median

$54 – $15,276 IQR (p25 – p75)

7 hospitals filing

2 states

View hospital-by-hospital → Raw rate rows →

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What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $21,879.

I am… Annual deductible (assumed — typical plan) Already spent this year

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 5024255401 (NDC), with interquartile range
State	Median	p25	p75
VA	$44,259	$28,536	$76,521
PA	$8,325	$51	$15,276

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

VA	$44,259	$28,536	$76,521	$45	$175,448	1 ⚠ thin data	11	39
PA	$8,325	$51	$15,276	$35	$160,903	6	24	241