NDC 904629461
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
00904-6294-61 - clopidogrel 75. mg Tab
Reported by 96 hospitals in the network.
Based on 473–608 billing samples across every hospital reporting.
Low
$0
Average
$318
Median
$2
High
$5.0k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 96 hospitals; the 90th percentile is 77.7× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center | Oceanside, CA | $13 | $17 | $7 | 460–478 | $6 | $29 |
| 2 | Naples HMA LLC | Naples, FL | $1 | $1 | $0 | 2–20 | $0 | $2 |
| 3 | Naples HMA LLC | Naples, FL | $1 | $1 | $0 | 2–20 | $0 | $2 |
| 4 | Key West HMA LLC | Key West, FL | $66 | $64 | $17 | 2–20 | $22 | $83 |
| 5 | Kaiser Permanente Central Hospital | Seattle, WA | $0 | $0 | — | 2–20 | $0 | $0 |
| 6 | Naples HMA LLC | Naples, FL | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 7 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $1 | $0 | 1–10 | $0 | $2 |
| 8 | Northwest Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 9 | Affinity Hospital LLC | Birmingham, AL | $37 | $35 | $14 | 1–10 | $9 | $61 |
| 10 | Longview Medical Center LP | Longview, TX | $49 | $59 | $50 | 1–10 | $7 | $166 |
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