NDC 904513559
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
ASPIRIN ACETAMINOPHEN CAFFEINE 250 250 65 MG PO TA
Low
$1
Average
$1
Median
$1
High
$1
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | — | — | — | $0 – $1 |
| 2 | Ellis Hospital Schenectady, NY | $1 | $1 | — | — | — | $1 – $1 |
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