NDC 00904-7325-73
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
ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML ORAL SUSP
Reported by 10 hospitals in the network under the other methodology.
Based on 2–20 billing samples across every hospital reporting.
Low
$2
Average
$5
Median
$6
High
$7
Filter by billing methodology
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. 10 hospitals; the 90th percentile is 2.9× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 2–20 | $0 | $9 |
| 2 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $1 | $2 | $2 | — | $1 | $25 |
| 3 | University Health Shreveport, Llc | Shreveport, LA | $1 | $3 | $1 | — | $1 | $5 |
| 4 | Brfhh Monroe, Llc | Monroe, LA | $1 | $2 | $2 | — | $1 | $5 |
| 5 | Rush Medical Foundation | Meridian, MS | $6 | $6 | $1 | — | $5 | $9 |
| 6 | University Hospital & Clinics, Inc. | Lafayette, LA | $4 | $7 | $4 | — | $4 | $15 |
| 7 | St Martin Hospital Inc | Breaux Bridge, LA | $5 | $7 | $3 | — | $5 | $19 |
| 8 | Laird Hospital, Inc. | Union, MS | $7 | $7 | $0 | — | $5 | $9 |
| 9 | Kemper CAH, Inc. | DeKalb, MS | $6 | $6 | $0 | — | $4 | $9 |
| 10 | Ochsner Medical Center � Kenner Llc | Kenner, LA | $2 | $4 | $3 | — | $2 | $10 |
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