NDC 904640861
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
00904-6408-61 - donepezil 5 mg Tab
Low
$1
Average
$490
Median
$22
High
$1.5k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 494.6× 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 | $1 | $1 | — | — | — | $1 – $7 |
| 2 | Affinity Hospital LLC Birmingham, AL | $22 | $22 | — | — | — | $12 – $70 |
| 3 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $9 – $1.5k |
| 4 | East Georgia Regional Medical Center LLC Statesboro, GA | $900 | $900 | — | — | — | $15 – $900 |
| 5 | Laredo Texas Hospital Company LP Laredo, TX | $3 | $4 | $1 | 33% | — | $3 – $60 |
Ask Claude or any MCP client for NDC 904640861 pricing at a specific hospital — see how to connect.