57896-791-01 — Simethicone 80 Mg Chewable Tablet
Cite this view
HANK Price Transparency. (n.d.). SIMETHICONE 80 MG CHEWABLE TABLET (NDC 57896-791-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/57896-791-01?code_type=NDC
“SIMETHICONE 80 MG CHEWABLE TABLET (NDC 57896-791-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/57896-791-01?code_type=NDC. Accessed .
“SIMETHICONE 80 MG CHEWABLE TABLET (NDC 57896-791-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/57896-791-01?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$31 (25th–75th percentile) across 14 hospitals · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 57896-791-01 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LAWRENCE COUNTY HOSPITAL CAH Both | Bc/Bs Ms State Emplo | 401457 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Bc/Bs Of Ms Basic Pl | 400100 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Bc/Bs Of Ms Federal | 400110_1 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Bc/Bs Of Ms Federal | 400110 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Bc/Bs Of Ms Basic Pl | 400100_1 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Aetna | 700700 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Aetna | 700700_1 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Aetna Miscellaneous | 700720 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Aetna Miscellaneous | 700720_1 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Aetna Ppo Hmo | 701720_1 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Aetna Ppo Hmo | 701720 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| LAWRENCE COUNTY HOSPITAL CAH Both | Bc/Bs Ms State Emplo | 401457_1 | — | $1.00 | — | 2026-03-25 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | $1.19 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $1.19 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | $1.34 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| UM Capital Region Medical Center Both | None | — | — | $5.98 | $5.86 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $7.42 | $7.27 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $7.42 | $7.27 | 2025-11-05 | MRF ↗ |
| UM Laurel Medical Center Both | None | — | — | $7.67 | $7.52 | 2025-11-05 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | None | — | — | $8.48 | $8.31 | 2025-11-05 | MRF ↗ |
| UM Bowie Health Center Both | None | — | — | $8.50 | $8.33 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | None | — | — | $11.43 | $11.20 | 2025-11-05 | MRF ↗ |
| UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT Outpatient | None | — | — | $12.65 | $12.40 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | None | — | — | $14.84 | $14.54 | 2025-11-05 | MRF ↗ |
| UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT Both | None | — | — | $14.87 | $14.57 | 2025-11-05 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | ANTHEM | All Plans | — | $3.65 | $19.58 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | Medical Mutual Ohio | All Plans | — | $3.65 | $19.58 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | United Behavioral Health | All Plans | — | $3.65 | $19.58 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | Ohio Health Choice | All Plans | — | $3.65 | $19.58 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | HUMANA | All Plans | — | $3.65 | $19.58 | 2024-12-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Cal Medi-Connect | $119.86 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | $625.89 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Blue Shield | Blue Shield - HMO | $725.00 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Cigna | Cigna - PPO | $22,815.81 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $26,157.62 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $35,182.76 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Aetna | First Health Medicare | $40,737.44 | $0.02 | $0.02 | 2026-04-01 | MRF ↗ |