NDC 00904-6238-61
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
00904-6238-61 - CARBIDOPA/LEVODOPA 25/250 MG TABLET [MGH]
Low
$0
Average
$8
Median
$1
High
$71
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 17 hospitals; the 90th percentile is 2184.0× 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 | Public Hospital District No 1 of Mason County Shelton, WA | $8 | $52 | $61 | 117% | 7,671–7,788 | $1 – $216 |
| 2 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Grossmont Hospital Corporation La Mesa, CA | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 5 | St Anthony Community Hospital Warwick, NY | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Callaway District Hospital Callaway, NE | $2 | $2 | — | — | — | $2 – $2 |
| 7 | McLeod Health Cheraw, SC | $0 | $0 | $0 | 95% | — | $0 – $1 |
| 8 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Sharp Chula Vista Medical Center Chula Vista, CA | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Sharp Mesa Vista Hospital San Diego, CA | $12 | $71 | $86 | 121% | — | $1 – $240 |
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