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 3 hospitals in the network under the other methodology.
Based on 2–20 billing samples across every hospital reporting.
Low
$5
Average
$18
Median
$7
High
$42
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 2–20 | $0 | $7 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $42 | $42 | $14 | — | $13 | $104 |
| 3 | Hospital Service District Of The Parish Of St. Bernard, State Of Louisiana | Chalmette, LA | $5 | $5 | — | — | $5 | $11 |
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