NDC 904750161
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
Carbidopa 25 mg-Levodopa 100 mg tab SINEMET 25-1
Reported by 2 hospitals in the network under the other methodology.
Low
$1
Average
$5
Median
$5
High
$10
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | USC Arcadia Hospital Arcadia, CA | $10 | $10 | $1 | 13% | 1–10 | $6 – $17 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | $0 | 47% | — | $0 – $1 |
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