NDC 49708-0644-90
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
theophylline 80 mg/15 mL Oral Elix, 15mL [CITY]
Low
$3
Average
$276
Median
$60
High
$1.2k
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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. 22 hospitals; the 90th percentile is 26.8× 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 | Tri-City Medical Center Oceanside, CA | $27 | $35 | $16 | 45% | 460–478 | $12 – $61 |
| 2 | IOM Health System LP Fort Wayne, IN | $41 | $45 | $21 | 47% | — | $15 – $102 |
| 3 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $90 | $96 | $38 | 40% | — | $33 – $213 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $68 | $70 | $29 | 41% | — | $22 – $137 |
| 5 | Triad of Alabama LLC Dothan, AL | $29 | $26 | $9 | 35% | — | $6 – $35 |
| 6 | Gadsden Regional Medical Center LLC Gadsden, AL | $15 | $14 | $5 | 40% | — | $3 – $1.5k |
| 7 | East Georgia Regional Medical Center LLC Statesboro, GA | $3 | $3 | $2 | 64% | — | $0 – $900 |
| 8 | Roswell Hospital Corporation Roswell, NM | $33 | $31 | $9 | 28% | — | $9 – $42 |
| 9 | La Porte Hospital Company LLC La Porte, IN | $66 | $63 | $14 | 23% | — | $22 – $77 |
| 10 | Knox Hospital Company LLC Knox, IN | $72 | $63 | $18 | 28% | — | $22 – $80 |
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