NDC 904647761
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
00904-6477-61 - donepezil 5 mg / 1 tab(s) Tab
Reported by 10 hospitals in the network under the per diem methodology.
Low
$1
Average
$658
Median
$17
High
$4.0k
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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. 10 hospitals; the 90th percentile is 431.8× 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 | Dukes Health System LLC Peru, IN | $1 | $1 | — | — | — | $1 – $7 |
| 2 | Victoria of Texas LP Victoria, TX | $7 | $9 | $4 | 48% | — | $7 – $108 |
| 3 | Victoria of Texas LP Victoria, TX | $7 | $9 | $4 | 48% | — | $7 – $108 |
| 4 | Affinity Hospital LLC Birmingham, AL | $22 | $22 | — | — | — | $12 – $70 |
| 5 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $9 – $1.5k |
| 6 | Key West HMA LLC Key West, FL | $64 | $64 | $2 | 2% | — | $29 – $106 |
| 7 | East Georgia Regional Medical Center LLC Statesboro, GA | $900 | $900 | — | — | — | $15 – $900 |
| 8 | Laredo Texas Hospital Company LP Laredo, TX | $3 | $4 | $1 | 33% | — | $3 – $60 |
| 9 | Longview Medical Center LP Longview, TX | $9 | $12 | $5 | 41% | — | $9 – $216 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL | $4.0k | $4.0k | — | — | — | $10 – $4.0k |
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