NDC 00574-0120-04
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
charcoal w/sorbitol 25 gm Susp 120 mL
Low
$71
Average
$98
Median
$77
High
$145
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Lodi Memorial Hospital Association Inc Lodi, CA | $140 | $145 | $20 | 14% | — | $33 – $179 |
| 2 | White Memorial Medical Center Angeles, CA | $61 | $77 | $38 | 49% | — | $15 – $215 |
| 3 | Ummc Holmes County LEXINGTON, MS | $71 | $71 | — | — | — | $0 – $1.9k |
Ask Claude or any MCP client for NDC 00574-0120-04 pricing at a specific hospital — see how to connect.