61958110101 (NDC) by state — Price Transparency

NDC · across United States

61958110101 — Emtricita-rilpivirine-tenof Df 200-25-300 Mg Tab 30 Each Bottle

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

$328 National median

$193 – $580 IQR (p25 – p75)

75 hospitals filing

20 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

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: $370.

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

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

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

Loading estimate…

Median negotiated rate, by state

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

Median negotiated rate by state for 61958110101 (NDC), with interquartile range
State	Median	p25	p75
NC	$10,577	$7,750	$12,443
NY	$1,206	$1,206	$1,206
ND	$580	$580	$580
KY	$580	$580	$580
MA	$580	$580	$580
NJ	$556	$437	$3,505
MD	$477	$378	$566
AL	$462	$432	$580
OK	$448	$448	$448
MI	$291	$196	$4,286
FL	$280	$141	$329
CA	$268	$189	$325
TX	$265	$232	$307
CT	$237	$222	$280
KS	$216	$216	$293
HI	$212	$158	$235
TN	$106	$88	$127
OR	$91	$85	$224
AZ	$79	$72	$134
CO	$67	$65	$128

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

NC	$10,577	$7,750	$12,443	$22	$17,005	4	19	53
NY	$1,206	$1,206	$1,206	$1,206	$5,834	3	45	190
ND	$580	$580	$580	$368	$580	2 ⚠ thin data	15	51
KY	$580	$580	$580	$580	$580	1 ⚠ thin data	0	1
MA	$580	$580	$580	$580	$580	1 ⚠ thin data	3	8
NJ	$556	$437	$3,505	$41	$7,278	2 ⚠ thin data	23	55
MD	$477	$378	$566	$205	$665	1 ⚠ thin data	10	20
AL	$462	$432	$580	$277	$591	3	6	35
OK	$448	$448	$448	$448	$448	1 ⚠ thin data	13	34
MI	$291	$196	$4,286	$2	$8,368	6	30	102
FL	$280	$141	$329	$63	$683	5	53	438
CA	$268	$189	$325	$63	$580	35	121	457
TX	$265	$232	$307	$221	$321	1 ⚠ thin data	3	6
CT	$237	$222	$280	$184	$329	1 ⚠ thin data	4	12
KS	$216	$216	$293	$216	$333	2 ⚠ thin data	6	15
HI	$212	$158	$235	$23	$350	2 ⚠ thin data	10	22
TN	$106	$88	$127	$21	$127	1 ⚠ thin data	18	19
OR	$91	$85	$224	$83	$269	2 ⚠ thin data	1	6
AZ	$79	$72	$134	$66	$189	1 ⚠ thin data	1	3
CO	$67	$65	$128	$63	$189	1 ⚠ thin data	1	3