NDC 904622161
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.
Generation details were not recorded for this description.
Original text from hospital filings
00904-6221-61 - ursodiol 300 mg Cap
Low
$2
Average
$7
Median
$6
High
$13
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 3.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $4 | $6 | $2 | 40% | — | $4 – $21 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $2 | $2 | $1 | 34% | — | $2 – $31 |
| 3 | Navarro Hospital LP Corsicana, TX | $3 | $4 | $2 | 54% | — | $1 – $18 |
| 4 | Piney Woods Healthcare System LP Lufkin, TX | $8 | $8 | $1 | 15% | — | $4 – $60 |
| 5 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $13 | $13 | — | — | — | $1 – $13 |
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