NDC 00527-4095-37
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 300-50-40 mg Cap
Reported by 2 hospitals in the network under the fee schedule methodology.
Low
$26
Average
$41
Median
$41
High
$56
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Glendale Adventist Medical Center | Glendale, CA | $44 | $56 | $24 | — | $13 | $104 |
| 2 | San Joaquin Community Hospital | Bakersfield, CA | $25 | $26 | $3 | — | $8 | $31 |
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