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 39 hospitals in the network under the percent of billed charges methodology.
Based on 460–478 billing samples across every hospital reporting.
Low
$0
Average
$79
Median
$6
High
$404
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 39 hospitals; the 90th percentile is 249.0× 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 | IOM Health System LP | Fort Wayne, IN | $6 | $6 | $2 | — | $3 | $11 |
| 3 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $11 | $12 | $4 | — | $6 | $23 |
| 4 | St. Joseph Health System, LLC | Wayne, IN | $8 | $8 | $3 | — | $3 | $14 |
| 5 | Durant HMA LLC | Durant, OK | $3 | $2 | $1 | — | $1 | $3 |
| 6 | Naples HMA LLC | Naples, FL | $3 | $5 | $2 | — | $2 | $13 |
| 7 | Naples HMA LLC | Naples, FL | $3 | $5 | $2 | — | $2 | $13 |
| 8 | Naples HMA LLC | Naples, FL | $3 | $5 | $2 | — | $2 | $13 |
| 9 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $2 |
| 10 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $0 | $0 | $0 | — | $0 | $2 |
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