NDC 121176130
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
aluminum & mag hydroxide-simethicone 200-200-20 mg/5 mL Susp 30 mL Cup
Low
$0
Average
$25
Median
$5
High
$1.6k
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 86 hospitals; the 90th percentile is 12.0× 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 | Kaiser Permanente Central Hospital Seattle, WA | $4 | $4 | — | — | 2–20 | $4 – $4 |
| 2 | Lake Regional Health System Osage Beach, MO | $46 | $46 | — | — | 1–10 | $3 – $46 |
| 3 | IOM Health System LP Fort Wayne, IN | $9 | $10 | $4 | 37% | — | $5 – $17 |
| 4 | Bluffton Health System LLC Bluffton, IN | $7 | $7 | $2 | 34% | — | $3 – $10 |
| 5 | Dukes Health System LLC Peru, IN | $15 | $16 | $5 | 30% | — | $5 – $26 |
| 6 | Warsaw Health System LLC Warsaw, IN | $17 | $17 | $6 | 34% | — | $6 – $27 |
| 7 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $5 | $6 | $2 | 35% | — | $3 – $11 |
| 8 | St. Joseph Health System, LLC Wayne, IN | $16 | $18 | $7 | 37% | — | $7 – $29 |
| 9 | Dupont Hospital LLC Wayne, IN | $9 | $9 | $3 | 37% | — | $4 – $15 |
| 10 | Natchez Hospital Company LLC Natchez, MS | $2 | $3 | $2 | 75% | — | $0 – $9 |
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