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
Low
$0
Average
$3
Median
$2
High
$7
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 18 hospitals; the 90th percentile is 9.8× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Naples HMA LLC Naples, FL | $2 | $2 | $0 | 25% | 20–47 | $0 – $2 |
| 2 | Naples HMA LLC Naples, FL | $2 | $2 | $0 | 25% | 20–47 | $0 – $2 |
| 3 | Naples HMA LLC Naples, FL | $2 | $2 | $1 | 27% | 3–30 | $0 – $2 |
| 4 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $2 | $2 | $0 | 2% | 2–20 | $1 – $5 |
| 5 | Oro Valley Hospital LLC Tucson, AZ | $2 | $2 | $1 | 31% | 2–20 | $1 – $5 |
| 6 | Northwest Hospital LLC Tucson, AZ | $2 | $2 | $1 | 32% | 2–20 | $1 – $5 |
| 7 | Northwest Sahurita Hospital LLC Tucson, AZ | $2 | $2 | $0 | 2% | 1–10 | $1 – $5 |
| 8 | Affinity Hospital LLC Birmingham, AL | $6 | $6 | $2 | 25% | 1–10 | $1 – $8 |
| 9 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $0 | $0 | 3% | 1–10 | $0 – $3 |
| 10 | Bluffton Health System LLC Bluffton, IN | $3 | $3 | — | — | — | $3 – $10 |
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