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
Low
$0
Average
$41
Median
$5
High
$374
Filter by billing methodology
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. 254 hospitals; the 90th percentile is 210.6× 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 | $279 | $374 | $192 | 51% | 5–50 | $0 – $758 |
| 3 | Monument Health Rapid City Hospital Inc City, SD | $32 | $29 | $7 | 25% | 3–30 | $0 – $38 |
| 4 | The Charlotte Mecklenburg Hospital Authority Concord, NC | $233 | $245 | $117 | 48% | 1–10 | $57 – $443 |
| 5 | Childrens Hospital Colorado Aurora, CO | $8 | $8 | $2 | 27% | 1–10 | $1 – $12 |
| 6 | St. Charles Redmond Redmond, OR | $10 | $8 | $3 | 37% | 1–10 | $4 – $13 |
| 7 | St. Charles Bend Bend, OR | $10 | $8 | $3 | 37% | 1–10 | $4 – $13 |
| 8 | Mayo Clinic Health System Menomonie, WI | $8 | $8 | $1 | 11% | 1–10 | $0 – $8 |
| 9 | The Finley Hospital Dubuque, IA | $1 | $1 | $0 | 27% | — | $0 – $2 |
| 10 | Northwest Iowa Hospital Corporation Sioux City, IA | $1 | $1 | $1 | 43% | — | $0 – $2 |
Ask Claude or any MCP client for NDC 00904-6623-61 pricing at a specific hospital — see how to connect.