NDC 904670461
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
00904-6704-61 - pramipexole 0.25 mg / 1 tab(s) Tab
Reported by 26 hospitals in the network under the other methodology.
Low
$1
Average
$19
Median
$9
High
$84
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. 26 hospitals; the 90th percentile is 44.3× 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 | — | — | — | $1 – $5 |
| 2 | Dukes Health System LLC Peru, IN | $2 | $2 | $0 | 18% | — | $1 – $7 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $3 | $3 | — | — | — | $1 – $3 |
| 4 | Natchez Hospital Company LLC Natchez, MS | $54 | $47 | $19 | 40% | — | $3 – $63 |
| 5 | Naples HMA LLC Naples, FL | $44 | $41 | $10 | 25% | — | $8 – $44 |
| 6 | Naples HMA LLC Naples, FL | $44 | $39 | $10 | 27% | — | $8 – $44 |
| 7 | Vicksburg Healthcare LLC Vicksburg, MS | $39 | $37 | $15 | 41% | — | $7 – $52 |
| 8 | Naples HMA LLC Naples, FL | $44 | $41 | $10 | 25% | — | $8 – $44 |
| 9 | Victoria of Texas LP Victoria, TX | $17 | $29 | $26 | 90% | — | $6 – $98 |
| 10 | Victoria of Texas LP Victoria, TX | $17 | $29 | $26 | 90% | — | $6 – $98 |
Ask Claude or any MCP client for NDC 904670461 pricing at a specific hospital — see how to connect.