61958120101 (NDC) by state — Price Transparency

NDC · across United States

61958120101 — Elviteg-cob-emtri-tenofo Disop 150-150-200-300 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).

$317 National median

$215 – $494 IQR (p25 – p75)

79 hospitals filing

19 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $311.

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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 61958120101 (NDC), with interquartile range
State	Median	p25	p75
NC	$12,931	$8,932	$14,651
AR	$2,000	$2,000	$2,000
NY	$1,206	$1,206	$1,206
NJ	$878	$508	$3,674
CO	$586	$536	$876
AL	$559	$522	$701
MD	$489	$387	$581
OK	$448	$448	$448
TX	$306	$268	$354
CA	$287	$162	$309
CT	$273	$255	$323
FL	$270	$176	$378
MI	$263	$210	$376
HI	$244	$182	$271
PR	$235	$235	$235
TN	$120	$100	$144
OR	$105	$98	$259
AZ	$91	$83	$154
IL	$76	$66	$100

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	$12,931	$8,932	$14,651	$1,445	$19,599	3	19	51
AR	$2,000	$2,000	$2,000	$2,000	$2,000	1 ⚠ thin data	24	26
NY	$1,206	$1,206	$1,206	$1,206	$1,912	2 ⚠ thin data	35	157
NJ	$878	$508	$3,674	$47	$7,631	3	25	72
CO	$586	$536	$876	$73	$1,347	2 ⚠ thin data	14	79
AL	$559	$522	$701	$335	$714	3	6	35
MD	$489	$387	$581	$211	$681	1 ⚠ thin data	10	20
OK	$448	$448	$448	$448	$448	1 ⚠ thin data	13	35
TX	$306	$268	$354	$255	$369	1 ⚠ thin data	3	6
CA	$287	$162	$309	$73	$415	33	95	365
CT	$273	$255	$323	$212	$380	1 ⚠ thin data	4	12
FL	$270	$176	$378	$40	$683	14	100	753
MI	$263	$210	$376	$2	$9,645	6	22	114
HI	$244	$182	$271	$26	$404	2 ⚠ thin data	10	22
PR	$235	$235	$235	$235	$235	1 ⚠ thin data	1	1
TN	$120	$100	$144	$21	$144	1 ⚠ thin data	18	19
OR	$105	$98	$259	$96	$310	2 ⚠ thin data	1	6
AZ	$91	$83	$154	$76	$218	1 ⚠ thin data	1	3
IL	$76	$66	$100	$44	$122	1 ⚠ thin data	5	11