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
00904-5135-59 - APAP/ASA/caffeine Tab
Low
$0
Average
$1
Median
$1
High
$4
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 6.6× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $4 | $4 | — | — | — | $1 – $4 |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $0 | $0 | $0 | 4% | — | $0 – $1 |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $0 | $0 | $0 | 4% | — | $0 – $1 |
| 4 | Northwest Hospital LLC Tucson, AZ | $0 | $0 | $0 | 32% | — | $0 – $1 |
| 5 | Triad of Alabama LLC Dothan, AL | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Affinity Hospital LLC Birmingham, AL | $0 | $0 | $0 | 25% | — | $0 – $1 |
| 7 | Gadsden Regional Medical Center LLC Gadsden, AL | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Knox Hospital Company LLC Knox, IN | $0 | $0 | — | — | — | $0 – $1 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | $0 | 47% | — | $0 – $1 |
| 10 | Allina Health Systems Shakopee, MN | $1 | $1 | $0 | 19% | — | $0 – $3 |
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