5913723101 (NDC) by state — Price Transparency

NDC · across United States

5913723101 — Gleolan 30 Mg/ml Oral Solution

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

$4,660 National median

$1,229 – $8,150 IQR (p25 – p75)

20 hospitals filing

5 states

View hospital-by-hospital → Raw rate rows →

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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: $6,232.

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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 5913723101 (NDC), with interquartile range
State	Median	p25	p75
FL	$12,784	$4,436	$15,341
MI	$11,665	$11,665	$11,809
VA	$7,501	$5,096	$11,334
OH	$5,753	$4,123	$6,896
PA	$1,155	$999	$1,241

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

FL	$12,784	$4,436	$15,341	$323	$25,568	3	31	125
MI	$11,665	$11,665	$11,809	$3,995	$14,382	1 ⚠ thin data	105	121
VA	$7,501	$5,096	$11,334	$4,091	$14,224	1 ⚠ thin data	8	26
OH	$5,753	$4,123	$6,896	$1,490	$9,588	10	33	421
PA	$1,155	$999	$1,241	$2	$2,026	5	24	346