69413033030 (NDC) by state — Price Transparency

NDC · across United States

69413033030 — Pyrimethamine 25 Mg Tablet

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

$2,264 National median

$691 – $4,434 IQR (p25 – p75)

10 hospitals filing

7 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $540.

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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 69413033030 (NDC), with interquartile range
State	Median	p25	p75
NC	$69,752	$61,367	$78,926
AR	$4,434	$4,434	$4,434
NJ	$3,456	$2,572	$26,745
AZ	$2,675	$2,399	$4,097
FL	$1,692	$878	$2,340
OK	$448	$448	$448
HI	$1	$1	$2

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	$69,752	$61,367	$78,926	$34,584	$91,139	1 ⚠ thin data	8	12
AR	$4,434	$4,434	$4,434	$4,434	$4,434	1 ⚠ thin data	21	23
NJ	$3,456	$2,572	$26,745	$254	$55,542	2 ⚠ thin data	23	57
AZ	$2,675	$2,399	$4,097	$2,264	$4,529	1 ⚠ thin data	7	14
FL	$1,692	$878	$2,340	$407	$3,600	3	18	83
OK	$448	$448	$448	$448	$448	1 ⚠ thin data	13	34
HI	$1	$1	$2	$1	$3	1 ⚠ thin data	11	15