NDC 00054-3000-01
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
acetam-butal-caff-cod 325-50-40-30mg Cap
Low
$6
Average
$159
Median
$25
High
$448
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Simi Valley Hospital And Health Care Services Valley, CA | $6 | $6 | $0 | 5% | — | $4 – $15 |
| 2 | White Memorial Medical Center Angeles, CA | $25 | $25 | $1 | 5% | — | $13 – $197 |
| 3 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
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