NDC 904663861
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
00904-6638-61 - QUEtiapine 25 mg Tab
Reported by 16 hospitals in the network under the per diem methodology.
Low
$1
Average
$2.2k
Median
$2.5k
High
$5.0k
Filter by billing methodology
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. 16 hospitals; the 90th percentile is 994.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Std dev as a share of this hospital’s average price: how widely its filed prices for this code vary relative to its own price level, so hospitals can be compared. The spread is across payers, plans and settings, so contract mix can drive it as well as pricing discipline. | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC | Peru, IN | $1 | $1 | — | — | — | $1 | $7 |
| 2 | Victoria of Texas LP | Victoria, TX | $6 | $7 | $3 | 48% | — | $6 | $90 |
| 3 | Victoria of Texas LP | Victoria, TX | $6 | $7 | $3 | 48% | — | $6 | $90 |
| 4 | Affinity Hospital LLC | Birmingham, AL | $13 | $13 | — | — | — | $7 | $43 |
| 5 | Gadsden Regional Medical Center LLC | Gadsden, AL | $1.5k | $1.5k | — | — | — | $3 | $1.5k |
| 6 | Key West HMA LLC | Key West, FL | $64 | $64 | $2 | 2% | — | $7 | $65 |
| 7 | East Georgia Regional Medical Center LLC | Statesboro, GA | $900 | $900 | — | — | — | $6 | $900 |
| 8 | Laredo Texas Hospital Company LP | Laredo, TX | $2 | $2 | $1 | 33% | — | $1 | $28 |
| 9 | Arkansas Childrens Hospital | Little Rock, AR | $3.9k | $3.9k | $437 | 11% | — | $3.1k | $5.2k |
| 10 | Arkansas Childrens Northwest | Springdale, AR | $3.6k | $3.5k | $227 | 6% | — | $3.1k | $5.2k |
Ask Claude or any MCP client for NDC 904663861 pricing at a specific hospital — see how to connect.