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 10 hospitals in the network under the fee schedule methodology.
Low
$2
Average
$10
Median
$6
High
$26
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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. 10 hospitals; the 90th percentile is 7.5× 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 | Dukes Health System LLC | Peru, IN | $1 | $2 | $1 | — | $1 | $7 |
| 2 | Victoria of Texas LP | Victoria, TX | $3 | $4 | $2 | — | $3 | $42 |
| 3 | Victoria of Texas LP | Victoria, TX | $3 | $4 | $2 | — | $3 | $42 |
| 4 | Laredo Texas Hospital Company LP | Laredo, TX | $3 | $4 | $1 | — | $3 | $51 |
| 5 | Longview Medical Center LP | Longview, TX | $7 | $11 | $7 | — | $7 | $166 |
| 6 | Piney Woods Healthcare System LP | Lufkin, TX | $8 | $8 | $1 | — | $4 | $61 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $14 | $14 | — | — | $2 | $14 |
| 8 | Westchester Medical Center | Valhalla, NY | $14 | $26 | $23 | — | $2 | $58 |
| 9 | Mid Hudson Regional Hospital | Poughkeepsie, NY | $14 | $26 | $23 | — | $2 | $58 |
| 10 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System | Houma, LA | $4 | $4 | — | — | $1 | $4 |
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