NDC 00005-2500-02
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
polycarbophil 625 mg Tab
Low
$5
Average
$10
Median
$9
High
$18
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Rideout Memorial Hospital Marysville, CA | $6 | $6 | $1 | 20% | — | $4 – $8 |
| 2 | San Joaquin Community Hospital Bakersfield, CA | $4 | $5 | $1 | 13% | — | $1 – $5 |
| 3 | Lodi Memorial Hospital Association Inc Lodi, CA | $11 | $11 | $2 | 14% | — | $3 – $14 |
| 4 | White Memorial Medical Center Angeles, CA | $14 | $18 | $9 | 49% | — | $3 – $49 |
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