NDC 50474-0200-01
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
50474-0200-01 - theophylline 200. mg Cap-ER
Low
$1
Average
$20
Median
$23
High
$55
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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. 11 hospitals; the 90th percentile is 16.7× 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 | Dukes Health System LLC Peru, IN | $27 | $36 | $14 | 40% | — | $25 – $133 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 34% | — | $1 – $12 |
| 3 | Rideout Memorial Hospital Marysville, CA | $52 | $55 | $11 | 20% | — | $33 – $76 |
| 4 | White Memorial Medical Center Angeles, CA | $14 | $18 | $9 | 49% | — | $3 – $49 |
| 5 | Commonspirit Oregon Roseburg, OR | $23 | $23 | $2 | 10% | — | $18 – $27 |
| 6 | Laird Hospital, Inc. Union, MS | $9 | $9 | — | — | — | $7 – $11 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $8 | $8 | — | — | — | $1 – $8 |
| 8 | Conway Regional Medical Center Conway, AR | $2 | $2 | $1 | 38% | — | $1 – $3 |
| 9 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA | $23 | $23 | — | — | — | $2 – $23 |
| 10 | Independence Health System Latrobe Area Hospital Latrobe, PA | $23 | $23 | — | — | — | $2 – $23 |
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