NDC 00904-5492-61
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
THERA M PLUS TABLET
Low
$0
Average
$4
Median
$0
High
$131
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 115 hospitals; the 90th percentile is 67.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD | $14 | $12 | $4 | 36% | 205 | $4 – $16 |
| 2 | St Luke's Methodist Hospital Cedar Rapids, IA | $1 | $0 | $0 | 20% | — | $0 – $1 |
| 3 | Trinity Regional Medical Center Fort Dodge, IA | $1 | $1 | $0 | 27% | — | $0 – $1 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA | $0 | $0 | $0 | 23% | — | $0 – $1 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA | $0 | $0 | $0 | 29% | — | $0 – $1 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA | $1 | $1 | $0 | 17% | — | $0 – $1 |
| 7 | St. Frances Cabrini Hospital Alexandria, LA | $7 | $7 | $2 | 27% | — | $3 – $8 |
| 8 | Baylor Scott & White Medical Center - Temple Temple, TX | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 9 | Baylor Scott & White Medical Center - Brenham Brenham, TX | $0 | $0 | $0 | 60% | — | $0 – $0 |
| 10 | Baylor Scott & White Medical Center - Taylor Taylor, TX | $0 | $0 | $0 | 40% | — | $0 – $0 |
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