NDC 904650661
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.
Generation details were not recorded for this description.
Original text from hospital filings
00904-6506-61 - memantine 10 mg Tab
Low
$1
Average
$18
Median
$8
High
$48
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $2 | $2 | $0 | 18% | — | $1 – $7 |
| 2 | St. Joseph Health System, LLC Wayne, IN | $5 | $5 | — | — | — | $1 – $5 |
| 3 | Naples HMA LLC Naples, FL | $52 | $48 | $12 | 25% | — | $9 – $52 |
| 4 | Naples HMA LLC Naples, FL | $52 | $48 | $12 | 25% | — | $9 – $52 |
| 5 | Northwest Hospital LLC Tucson, AZ | $1 | $1 | $0 | 32% | — | $0 – $2 |
| 6 | Metro Knoxville HMA LLC Powell, TN | $2 | $2 | — | — | — | $1 – $4 |
| 7 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | — | $7 – $48 |
| 8 | Gadsden Regional Medical Center LLC Gadsden, AL | $21 | $21 | — | — | — | $21 – $21 |
| 9 | HMA Santa Rosa Medical Center LLC Milton, FL | $3 | $10 | $20 | 194% | — | $1 – $63 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $3 | $2 | $1 | 47% | — | $0 – $3 |
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