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 40 mg/0.6 mL Oral Liq [CITY]
Low
$0
Average
$2
Median
$1
High
$9
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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. 30 hospitals; the 90th percentile is 9.8× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA | $2 | $3 | $1 | 45% | 460–478 | $1 – $6 |
| 2 | IOM Health System LP Fort Wayne, IN | $3 | $4 | $2 | 71% | — | $1 – $9 |
| 3 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $2 | $2 | $1 | 70% | — | $0 – $6 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $4 | $6 | $4 | 72% | — | $1 – $16 |
| 5 | Victoria of Texas LP Victoria, TX | $1 | $1 | $0 | 52% | — | $0 – $1 |
| 6 | Victoria of Texas LP Victoria, TX | $1 | $1 | $0 | 52% | — | $0 – $1 |
| 7 | Northwest Hospital LLC Tucson, AZ | $0 | $0 | $0 | 67% | — | $0 – $1 |
| 8 | Triad of Alabama LLC Dothan, AL | $4 | $4 | $1 | 34% | — | $1 – $5 |
| 9 | Affinity Hospital LLC Birmingham, AL | $1 | $1 | $0 | 51% | — | $0 – $2 |
| 10 | Foley Hospital Company LLC Foley, AL | $1 | $1 | $0 | 33% | — | $0 – $1 |
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