NDC 69618-0033-01
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
69618-0033-01 - simethicone 80 mg Tab-Ch
Reported by 30 hospitals in the network under the other methodology.
Based on 7–70 billing samples across every hospital reporting.
Low
$0
Average
$3
Median
$1
High
$38
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 30 hospitals; the 90th percentile is 18.6× 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 | Naples HMA LLC | Naples, FL | $2 | $1 | $0 | 2–20 | $0 | $2 |
| 2 | Naples HMA LLC | Naples, FL | $2 | $1 | $0 | 2–20 | $0 | $2 |
| 3 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 2–20 | $0 | $7 |
| 4 | Affinity Hospital LLC | Birmingham, AL | $38 | $38 | $10 | 1–10 | $7 | $48 |
| 5 | Bluffton Health System LLC | Bluffton, IN | $1 | $1 | — | — | $1 | $3 |
| 6 | Naples HMA LLC | Naples, FL | $2 | $1 | $0 | — | $0 | $2 |
| 7 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $1 |
| 8 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $0 | $0 | $0 | — | $0 | $1 |
| 9 | Oro Valley Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $1 |
| 10 | Northwest Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $1 |
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