NDC 00904-6732-04
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
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
Based on 132 billing samples across every hospital reporting.
Low
$1
Average
$143
Median
$21
High
$2k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 58 hospitals; the 90th percentile is 62.3× 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 | $2 | $2 | $0 | 16% | 132 | $1 – $2 |
| 2 | Northwestern Memorial Hospital Chicago, IL | $117 | $118 | $50 | 42% | — | $39 – $167 |
| 3 | Northwestern Medicine Valley West Hospital Sandwich, IL | $109 | $103 | $39 | 37% | — | $32 – $167 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT | $2 | $2 | $0 | 18% | — | $1 – $3 |
| 5 | Saint Alphonsus Medical Center - Ontario Ontario, OR | $1 | $1 | $1 | 56% | — | $1 – $3 |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $2 | $2 | $1 | 40% | — | $1 – $3 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL | $763 | $409 | $376 | 92% | — | $0 – $776 |
| 8 | Nazareth Hospital Philadelphia, PA | $3 | $9 | $53 | 587% | — | $1 – $474 |
| 9 | Samaritan Hospital Troy, NY | $2 | $2 | $1 | 29% | — | $1 – $3 |
| 10 | Ochsner Clinic Foundation Orleans, LA | $18 | $18 | $8 | 44% | — | $5 – $27 |
Ask Claude or any MCP client for NDC 00904-6732-04 pricing at a specific hospital — see how to connect.