NDC 904721104
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
dantrolene 25 mg Cap [CITY]
Low
$1
Average
$6
Median
$5
High
$15
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 24 hospitals; the 90th percentile is 3.4× 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 | Tri-City Medical Center Oceanside, CA | $9 | $11 | $5 | 45% | 460–478 | $4 – $19 |
| 2 | Sanford Fargo Medical Center Fargo, ND | $2 | $2 | $1 | 33% | — | $1 – $3 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $2 | $1 | $1 | 35% | — | $1 – $2 |
| 4 | Sanford Aberdeen Medical Center Aberdeen, SD | $5 | $5 | $1 | 21% | — | $3 – $6 |
| 5 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT | $7 | $6 | $2 | 28% | — | $0 – $9 |
| 6 | Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital DENVER, CO | $13 | $13 | $6 | 43% | — | $4 – $23 |
| 7 | Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital WHEAT RIDGE, CO | $13 | $13 | $5 | 42% | — | $4 – $23 |
| 8 | USC Arcadia Hospital Arcadia, CA | $17 | $15 | $4 | 27% | — | $7 – $21 |
| 9 | University Medical Center, Inc. Louisville, KY | $6 | $5 | $3 | 47% | — | $1 – $9 |
| 10 | UofL Health-Louisville Inc. Louisville, KY | $5 | $5 | $3 | 49% | — | $1 – $9 |
Ask Claude or any MCP client for NDC 904721104 pricing at a specific hospital — see how to connect.