NDC 904643761
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
00904-6437-61 - oxyCODONE-acetaminophen 0 / 1 tab
Low
$1
Average
$3
Median
$2
High
$5
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $2 | $2 | $1 | 40% | — | $2 – $8 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 34% | — | $1 – $14 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $5 | $5 | — | — | — | $1 – $5 |
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