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 10-100 MG/5 ML ORAL LIQD
Reported by 5 hospitals in the network under the other methodology.
Low
$2
Average
$3
Median
$2
High
$5
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 2.6× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University Health Shreveport, Llc Shreveport, LA | $1 | $2 | $1 | 58% | — | $1 – $4 |
| 2 | Brfhh Monroe, Llc Monroe, LA | $1 | $2 | $1 | 67% | — | $1 – $4 |
| 3 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc Shreveport, LA | $1 | $2 | $1 | 59% | — | $1 – $4 |
| 4 | Acadia General Hospital, Inc 1305 CROWLEY RAYNE HWY | $2 | $4 | $4 | 84% | — | $2 – $11 |
| 5 | Kemper CAH, Inc. DeKalb, MS | $5 | $5 | $0 | 8% | — | $4 – $7 |
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