NDC 904043006
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
00904-0430-06 - doxycycline 100 mg / 1 tab(s) Tab
Reported by 44 hospitals in the network.
Based on 473–608 billing samples across every hospital reporting.
Low
$1
Average
$581
Median
$9
High
$5.0k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 44 hospitals; the 90th percentile is 1160.4× 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 | 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 | $10 | $13 | $6 | 460–478 | $4 | $22 |
| 2 | Naples HMA LLC | Naples, FL | $6 | $7 | $4 | 4–40 | $2 | $13 |
| 3 | Naples HMA LLC | Naples, FL | $6 | $7 | $4 | 4–40 | $2 | $13 |
| 4 | Naples HMA LLC | Naples, FL | $7 | $7 | $4 | 3–30 | $2 | $13 |
| 5 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $1 | $0 | 1–10 | $0 | $2 |
| 6 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $0 | $1 | $0 | 1–10 | $0 | $2 |
| 7 | IOM Health System LP | Fort Wayne, IN | $6 | $6 | $2 | — | $3 | $11 |
| 8 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $11 | $12 | $4 | — | $6 | $23 |
| 9 | St. Joseph Health System, LLC | Wayne, IN | $8 | $9 | $3 | — | $3 | $14 |
| 10 | Durant HMA LLC | Durant, OK | $3 | $2 | $1 | — | $1 | $3 |
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