NDC 904719361
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
FAMOTIDINE 20 MG PO TABS
Reported by 3 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$2
Median
$2
High
$4
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 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $1 | $1 | — | — | $0 | $1 |
| 2 | Allina Health Systems | Ulm, MN | $1 | $2 | $0 | — | $1 | $3 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System | Houma, LA | $4 | $4 | — | — | $1 | $4 |
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