NDC 00904-6623-61
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
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
Based on 148–292 billing samples across every hospital reporting.
Low
$0
Average
$42
Median
$4
High
$360
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 302 hospitals; the 90th percentile is 421.7× 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 | FHN Memorial Hospital Freeport, IL | $3 | $3 | $0 | 16% | 132 | $2 – $3 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC | $277 | $360 | $201 | 56% | 5–50 | $0 – $758 |
| 3 | Monument Health Rapid City Hospital Inc City, SD | $32 | $28 | $11 | 39% | 3–30 | $0 – $38 |
| 4 | Alegent Health Bergan Mercy Health System Omaha, NE | $1 | $78 | $92 | 118% | 2–20 | $0 – $234 |
| 5 | Carolinas Medical Center Charlotte, NC | $242 | $252 | $108 | 43% | 1–10 | $0 – $419 |
| 6 | The Charlotte Mecklenburg Hospital Authority Concord, NC | $233 | $245 | $117 | 48% | 1–10 | $57 – $443 |
| 7 | Childrens Hospital Colorado Aurora, CO | $8 | $8 | $2 | 27% | 1–10 | $1 – $12 |
| 8 | St. Charles Redmond Redmond, OR | $10 | $8 | $3 | 37% | 1–10 | $4 – $13 |
| 9 | St. Charles Bend Bend, OR | $10 | $8 | $3 | 37% | 1–10 | $4 – $13 |
| 10 | Mayo Clinic Health System Menomonie, WI | $8 | $7 | $2 | 25% | 1–10 | $0 – $8 |
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