NDC 00904-6424-04
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
modafinil 200 mg Tab
Low
$19
Average
$233
Median
$232
High
$448
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | White Memorial Medical Center Angeles, CA | $20 | $19 | $1 | 5% | — | $10 – $154 |
| 2 | St Helena Hospital Helena, CA | $240 | $232 | $11 | 5% | — | $145 – $326 |
| 3 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
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