NDC 904681806
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
MIDODRINE HCL 5 MG PO TABS
Low
$2
Average
$3
Median
$3
High
$4
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $3 | $3 | — | — | — | $0 – $3 |
| 2 | Allina Health Systems Ulm, MN | $2 | $2 | $0 | 5% | — | $1 – $5 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $4 | $4 | — | — | — | $1 – $4 |
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