NDC 00904-7082-04
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
$2
Average
$24
Median
$5
High
$448
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 57 hospitals; the 90th percentile is 3.7× 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 – $4 |
| 2 | Trinity Medical Center Rock Island, IL | $3 | $72 | $106 | 148% | — | $1 – $235 |
| 3 | Trinity Medical Center Bettendorf, IA | $3 | $2 | $1 | 21% | — | $1 – $3 |
| 4 | Baylor Scott & White Medical Center - Temple Temple, TX | $4 | $4 | $1 | 29% | — | $1 – $7 |
| 5 | Baylor Scott & White Medical Center - Brenham Brenham, TX | $4 | $3 | $2 | 55% | — | $1 – $7 |
| 6 | Baylor Scott & White Medical Center - Taylor Taylor, TX | $4 | $4 | $2 | 43% | — | $1 – $6 |
| 7 | Baylor Scott & White Medical Center - Hillcrest Waco, TX | $4 | $4 | $1 | 29% | — | $1 – $6 |
| 8 | Baylor University Medical Center Dallas, TX | $5 | $356 | $1.5k | 426% | — | $1 – $7.4k |
| 9 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX | $5 | $4 | $1 | 33% | — | $1 – $6 |
| 10 | Baylor Scott & White Medical Center - Round Rock Round Rock, TX | $4 | $4 | $1 | 27% | — | $1 – $7 |
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