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 tab 5 mg PROAMATINE - 1
Low
$1
Average
$4
Median
$2
High
$11
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | USC Arcadia Hospital Arcadia, CA | $11 | $11 | $1 | 13% | — | $7 – $19 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $3 | $2 | $1 | 47% | — | $0 – $3 |
| 3 | Allina Health Systems Ulm, MN | $2 | $2 | $1 | 31% | — | $1 – $5 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $1 | $1 | $1 | 85% | — | $1 – $4 |
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