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  4. /NDC 00121-1761-30

NDC 00121-1761-30

ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP at Mount Carmel New Albany Surgical Hospital

New Albany, OH

Pricing by billing methodology

Price type

All methodologies

$1

Aggregated across all available billing methodologies for this code.

Case rate

$632

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

Not reported

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$1

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Mar 31, 2026

Compare to other hospitals

See ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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