NDC 904682892
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
oxyCODONE 5 mg/5 mL Soln-Oral UD
Reported by 2 hospitals in the network under the per diem methodology.
Low
$13
Average
$457
Median
$457
High
$900
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL | $13 | $13 | — | — | — | $7 – $43 |
| 2 | East Georgia Regional Medical Center LLC Statesboro, GA | $900 | $900 | — | — | — | $2 – $900 |
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