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
$55
Average
$202
Median
$213
High
$326
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Rideout Memorial Hospital Marysville, CA | $279 | $296 | $58 | 20% | — | $176 – $411 |
| 2 | White Memorial Medical Center Angeles, CA | $44 | $55 | $27 | 49% | — | $10 – $154 |
| 3 | St Helena Hospital Helena, CA | $326 | $326 | — | — | — | $145 – $326 |
| 4 | Sierra Nevada Memorial-miners Hospital Grass Valley, CA | $135 | $130 | $20 | 15% | — | $73 – $148 |
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