RX00904704206
CDMAMANTADINE HCL CAP 100 MG
Verified from hospital fileNot a bill estimate
iDirect answer
Based on the latest published hospital price files, code RX00904704206 (AMANTADINE HCL CAP 100 MG) appears at 3 hospitals with disclosed cash prices from $0.61 to $24.96. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
3
hospitals publish a price
0
list this service without a published price
3
Cash
3
List
0
Negotiated
0
Allowed
Compare RX00904704206 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code RX00904704206 vary by about 41× across the 3 hospitals with disclosed prices here — from $0.61 to $24.96. Shopping around can matter.
3
Hospitals
3
Prices shown
$0.61
Lowest cash
$24.96
Highest cash
code RX00904704206 cash price3 disclosed · 3 hospitals
$0.61median ~$5.61$24.96
Lowest cash price by hospital
- Healdsburg Hospital$5.61
Cash price by city
Reflects your current filters.
Cash price by city$0.61 – $24.96
- San Pedro · 1 hospital$0.61
- Healdsburg · 1 hospital$5.61
- Anchorage · 1 hospital$24.96
3 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| AMANTADINE HCL CAP 100 MG Inpatient & outpatient | St Elias Specialty Hospital | RX00904704206 CDM | $32.00 | $24.96 | — | — | |
| AMANTADINE HCL CAP 100 MG Inpatient & outpatient | Healdsburg Hospital | RX00904704206 CDM | $11.00 | $5.61 | — | — | |
| AMANTADINE HCL CAP 100 MG Inpatient & outpatient | Providence Little Co of Mary Med Center San Pedro | RX00904704206 CDM | $1.75 | $0.61 | — | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish RX00904704206 prices
Open a hospital to see this code in the context of its full published prices.
Code RX00904704206: frequently asked
- What does code RX00904704206 cost?
- Across the published hospital price files, the disclosed cash price for RX00904704206 ranges from $0.61 to $24.96. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code RX00904704206?
- RX00904704206 is the billing code hospitals use to identify "AMANTADINE HCL CAP 100 MG" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.