NDC 904693806
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
00904-6938-06 - butalbital/acetaminophen/caffeine
Reported by 3 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$605
Median
$7
High
$1.8k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC | Peru, IN | $5 | $7 | $3 | — | $5 | $27 |
| 2 | Bullhead City Hospital Corporation | City, AZ | $1.8k | $1.8k | $1.2k | — | $5 | $4.9k |
| 3 | Laredo Texas Hospital Company LP | Laredo, TX | $0 | $0 | $0 | — | $0 | $7 |
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