NDC 904688406
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
00904-6884-06 - hydroxychloroquine 200 mg / 1 tab(
Low
$1
Average
$3
Median
$3
High
$6
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $4 | $6 | $2 | 40% | — | $4 – $21 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 34% | — | $1 – $14 |
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