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
$75
Average
$75
Median
$75
High
$75
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | White Memorial Medical Center Angeles, CA | $75 | $75 | $19 | 26% | — | $15 – $215 |
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