NDC 904644261
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
00904-6442-61 - hydrALAZINE 50 mg Tab
Low
$1
Average
$5
Median
$1
High
$38
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 11.3× 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 | Bluffton Health System LLC Bluffton, IN | $2 | $2 | — | — | — | $2 – $6 |
| 2 | St. Joseph Health System, LLC Wayne, IN | $3 | $3 | — | — | — | $1 – $3 |
| 3 | Northwest Hospital LLC Tucson, AZ | $0 | $1 | $0 | 31% | — | $0 – $2 |
| 4 | Metro Knoxville HMA LLC Knoxville, TN | $1 | $1 | — | — | — | $0 – $1 |
| 5 | Metro Knoxville HMA LLC Powell, TN | $1 | $1 | — | — | — | $0 – $2 |
| 6 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | — | $7 – $48 |
| 7 | Gadsden Regional Medical Center LLC Gadsden, AL | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 3% | — | $0 – $6 |
| 9 | Navarro Hospital LP Corsicana, TX | $4 | $4 | $1 | 39% | — | $1 – $10 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | $0 | 47% | — | $0 – $1 |
Ask Claude or any MCP client for NDC 904644261 pricing at a specific hospital — see how to connect.