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
$23
Median
$14
High
$72
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Bluffton Health System LLC Bluffton, IN | $32 | $32 | — | — | — | $29 – $109 |
| 2 | Dukes Health System LLC Peru, IN | $42 | $42 | $7 | 18% | — | $25 – $133 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $72 | $72 | — | — | — | $17 – $72 |
| 4 | Triad of Alabama LLC Dothan, AL | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | — | $7 – $48 |
| 6 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 2% | — | $1 – $12 |
| 7 | La Porte Hospital Company LLC La Porte, IN | $11 | $11 | — | — | — | $11 – $37 |
| 8 | White Memorial Medical Center Angeles, CA | $17 | $17 | $4 | 26% | — | $3 – $49 |
| 9 | Laird Hospital, Inc. Union, MS | $9 | $9 | $1 | 6% | — | $7 – $11 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $8 | $6 | $3 | 47% | — | $1 – $8 |
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