NDC 904680861
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
montelukast 10 mg Tab
Reported by 32 hospitals in the network under the other methodology.
Low
$0
Average
$17
Median
$2
High
$223
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. 32 hospitals; the 90th percentile is 63.5× 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 | Naples HMA LLC Naples, FL | $9 | $8 | $2 | 25% | 1–10 | $2 – $9 |
| 2 | Naples HMA LLC Naples, FL | $9 | $8 | $2 | 25% | 1–10 | $2 – $9 |
| 3 | Northwest Sahurita Hospital LLC Tucson, AZ | $0 | $0 | — | — | 1–10 | $0 – $2 |
| 4 | Bluffton Health System LLC Bluffton, IN | $2 | $2 | — | — | — | $2 – $7 |
| 5 | Dukes Health System LLC Peru, IN | $2 | $2 | $0 | 18% | — | $1 – $7 |
| 6 | St. Joseph Health System, LLC Wayne, IN | $4 | $4 | — | — | — | $1 – $4 |
| 7 | Natchez Hospital Company LLC Natchez, MS | $48 | $42 | $17 | 40% | — | $3 – $56 |
| 8 | Naples HMA LLC Naples, FL | $9 | $8 | $2 | 27% | — | $2 – $9 |
| 9 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $0 | $0 | — | — | — | $0 – $2 |
| 10 | Oro Valley Hospital LLC Tucson, AZ | $0 | $1 | $0 | 31% | — | $0 – $2 |
Ask Claude or any MCP client for NDC 904680861 pricing at a specific hospital — see how to connect.