NDC 904659161
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
00904-6591-61 - oxyCODONE 30 mg Tab
Low
$2
Average
$4
Median
$4
High
$7
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Bluffton Health System LLC Bluffton, IN | $3 | $3 | — | — | — | $3 – $12 |
| 2 | Dukes Health System LLC Peru, IN | $2 | $2 | $0 | 18% | — | $1 – $7 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $4 | $4 | — | — | — | $1 – $4 |
| 4 | Metro Knoxville HMA LLC Powell, TN | $7 | $7 | — | — | — | $3 – $15 |
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