NDC 904643961
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
oxyCODONE-acetaminophen 10 mg-325 mg Tab
Reported by 15 hospitals in the network under the other methodology.
Low
$2
Average
$7
Median
$5
High
$38
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 6.7× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | 1–10 | $7 – $48 |
| 2 | Bluffton Health System LLC Bluffton, IN | $7 | $7 | — | — | — | $7 – $25 |
| 3 | Dukes Health System LLC Peru, IN | $7 | $7 | $1 | 18% | — | $4 – $23 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $15 | $15 | — | — | — | $4 – $15 |
| 5 | Northwest Sahurita Hospital LLC Tucson, AZ | $2 | $2 | $0 | 2% | — | $1 – $7 |
| 6 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $2 | $2 | $0 | 2% | — | $1 – $7 |
| 7 | Northwest Hospital LLC Tucson, AZ | $2 | $2 | $1 | 32% | — | $1 – $7 |
| 8 | Metro Knoxville HMA LLC Knoxville, TN | $6 | $6 | — | — | — | $3 – $9 |
| 9 | Metro Knoxville HMA LLC Powell, TN | $6 | $6 | — | — | — | $3 – $13 |
| 10 | Triad of Alabama LLC Dothan, AL | $5 | $5 | — | — | — | $5 – $5 |
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