NDC 904683873
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
Al hydroxide-Mg hydroxide-simethicone 200 mg-200 m
Based on 52–214 billing samples across every hospital reporting.
Low
$1
Average
$8
Median
$5
High
$63
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 29 hospitals; the 90th percentile is 8.6× 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 | $1 | $1 | $1 | 57% | 20–47 | $0 – $2 |
| 2 | Naples HMA LLC Naples, FL | $1 | $1 | $1 | 57% | 20–47 | $0 – $2 |
| 3 | Naples HMA LLC Naples, FL | $1 | $1 | $1 | 56% | 3–30 | $0 – $2 |
| 4 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $2 | $2 | $1 | 78% | 2–20 | $1 – $5 |
| 5 | Oro Valley Hospital LLC Tucson, AZ | $2 | $2 | $1 | 60% | 2–20 | $1 – $5 |
| 6 | Northwest Hospital LLC Tucson, AZ | $2 | $2 | $1 | 65% | 2–20 | $1 – $5 |
| 7 | Northwest Sahurita Hospital LLC Tucson, AZ | $2 | $2 | $1 | 78% | 1–10 | $1 – $5 |
| 8 | Affinity Hospital LLC Birmingham, AL | $5 | $4 | $2 | 41% | 1–10 | $1 – $8 |
| 9 | Laredo Texas Hospital Company LP Laredo, TX | $2 | $2 | $1 | 72% | 1–10 | $0 – $3 |
| 10 | Bluffton Health System LLC Bluffton, IN | $7 | $7 | $2 | 34% | — | $3 – $10 |
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