NDC 904722761
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
clonazePAM 0.5 mg Tab 100 each BLIST PACK
Low
$1
Average
$9
Median
$9
High
$16
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems Ulm, MN | $14 | $16 | $5 | 30% | — | $6 – $30 |
| 2 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $1 | $1 | $1 | 86% | — | $1 – $4 |
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