NDC 904728060
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
docusate sodium 100 mg Cap [CITY]
Low
$0
Average
$1
Median
$1
High
$4
Filter by billing methodology
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. 27 hospitals; the 90th percentile is 4.0× 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 | $0 | $0 | $0 | 50% | 460–478 | $0 – $0 |
| 2 | Sanford Bemidji Medical Center Bemidji, MN | $1 | $1 | $0 | 22% | — | $0 – $1 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | $0 | 35% | — | $0 – $1 |
| 4 | Sanford Worthington Medical Center Worthington, MN | $1 | $1 | $0 | 31% | — | $1 – $1 |
| 5 | Sanford Sheldon Medical Center Sheldon, IA | $1 | $1 | $0 | 34% | — | $0 – $1 |
| 6 | Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital WHEAT RIDGE, CO | $0 | $0 | $0 | 42% | — | $0 – $0 |
| 7 | IHC Health Services, Inc,. DBA Intermountain Health Alta View Hospital Sandy, UT | $0 | $0 | $0 | 25% | — | $0 – $0 |
| 8 | University Medical Center, Inc. Louisville, KY | $1 | $1 | $0 | 48% | — | $0 – $1 |
| 9 | UofL Health-Louisville Inc. Louisville, KY | $1 | $1 | $0 | 49% | — | $0 – $1 |
| 10 | UofL Health-Louisville Inc. Shepherdville, KY | $1 | $1 | $0 | 47% | — | $0 – $1 |
Ask Claude or any MCP client for NDC 904728060 pricing at a specific hospital — see how to connect.