NDC 904589430
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
Simethicone Susp 40 MG/0.6ML
Low
$0
Average
$6
Median
$6
High
$12
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Victoria of Texas LP Victoria, TX | $0 | $0 | $0 | 55% | — | $0 – $1 |
| 2 | Victoria of Texas LP Victoria, TX | $0 | $0 | $0 | 55% | — | $0 – $1 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $11 | $11 | — | — | — | $1 – $11 |
| 4 | Ellis Hospital Schenectady, NY | $12 | $12 | — | — | — | $6 – $12 |
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