NDC 904505324
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
00904-5053-24 - pseudoephedrine 30. mg Tab
Low
$0
Average
$1
Median
$1
High
$4
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $1 | $1 | $0 | 40% | — | $1 – $4 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $0 | $0 | 36% | — | $0 – $2 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | — | — | — | $0 – $1 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $4 | $4 | — | — | — | $1 – $4 |
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