NDC 00904-7134-70
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
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP
Reported by 13 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$79
Median
$3
High
$963
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 13 hospitals; the 90th percentile is 6.3× 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 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Alegent Creighton Health Omaha, NE | $3 | $3 | $1 | 38% | — | $1 – $5 |
| 3 | Alegent Health Memorial Hospital, Schuyler Schuyler, NE | $5 | $5 | $1 | 25% | — | $1 – $6 |
| 4 | Alegent Creighton Health Plainview, NE | $5 | $5 | $1 | 17% | — | $3 – $8 |
| 5 | Alegent Creighton Health Papillion, NE | $3 | $3 | $1 | 37% | — | $1 – $5 |
| 6 | Alegent Health Bergan Mercy Health System Omaha, NE | $4 | $3 | $1 | 39% | — | $1 – $5 |
| 7 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa Missouri Valley, IA | $5 | $5 | $1 | 29% | — | $2 – $6 |
| 8 | Alegent Health Immanuel Medical Center Omaha, NE | $3 | $3 | $1 | 37% | — | $1 – $5 |
| 9 | Alegent Health - Mercy Hospital, Corning Iowa Corning, IA | $5 | $5 | $1 | 26% | — | $2 – $12 |
| 10 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $3 | $3 | $1 | 33% | — | $1 – $5 |
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