NDC 527169501
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
00527-1695-01 - acetaminophen/butalbital/caffeine
Reported by 53 hospitals in the network.
Based on 468–558 billing samples across every hospital reporting.
Low
$1
Average
$74
Median
$7
High
$930
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 53 hospitals; the 90th percentile is 176.1× 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 | Tri-City Medical Center | Oceanside, CA | $8 | $11 | $5 | 460–478 | $4 | $18 |
| 2 | Wesley Health System LLC | Hattiesburg, MS | $6 | $6 | $4 | 2–20 | $2 | $14 |
| 3 | Naples HMA LLC | Naples, FL | $12 | $12 | $7 | 2–20 | $4 | $21 |
| 4 | Naples HMA LLC | Naples, FL | $10 | $12 | $7 | 1–10 | $4 | $21 |
| 5 | Naples HMA LLC | Naples, FL | $10 | $12 | $7 | 1–10 | $4 | $21 |
| 6 | Northwest Sahurita Hospital LLC | Tucson, AZ | $2 | $2 | $2 | 1–10 | $1 | $6 |
| 7 | Affinity Hospital LLC | Birmingham, AL | $29 | $27 | $11 | 1–10 | $7 | $48 |
| 8 | IOM Health System LP | Fort Wayne, IN | $8 | $9 | $3 | — | $4 | $14 |
| 9 | Bluffton Health System LLC | Bluffton, IN | $16 | $15 | $5 | — | $6 | $23 |
| 10 | Dukes Health System LLC | Peru, IN | $12 | $13 | $6 | — | $5 | $27 |
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