72874000101 (NDC) by state — Price Transparency

NDC · across United States

72874000101 — Fluoroestradiol F 18 4-100 Mci/ml IV 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).

$9,734 National median

$9,004 – $11,819 IQR (p25 – p75)

5 hospitals filing

2 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: $7,648.

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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 72874000101 (NDC), with interquartile range
State	Median	p25	p75
NJ	$96,138	$41,822	$741,778
CA	$9,734	$7,648	$10,429

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

NJ	$96,138	$41,822	$741,778	$1,818	$1,270,821	2 ⚠ thin data	30	70
CA	$9,734	$7,648	$10,429	$251	$69,560	3	93	258