NDC 67877-0222-05
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.
Generation details were not recorded for this description.
Original text from hospital filings
67877-0222-05 - GABAPENTIN 100 MG CAPSULE [MGH]
Low
$0
Average
$8
Median
$0
High
$52
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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. 10 hospitals; the 90th percentile is 2672.4× 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 | Public Hospital District No 1 of Mason County Shelton, WA | $8 | $52 | $61 | 117% | 7,671–7,788 | $1 – $216 |
| 2 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $1 | $0 | 35% | — | $0 – $1 |
| 5 | Dukes Health System LLC Peru, IN | $1 | $2 | $1 | 40% | — | $1 – $4 |
| 6 | The Methodist Hospitals, Inc. Gary, IN | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA | $8 | $24 | $24 | 99% | — | $4 – $69 |
| 10 | Vanderbilt Wilson County Hospital Lebanon, TN | $0 | $0 | — | — | — | $0 – $0 |
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