NDC 00574-0120-04

Activated charcoal with sorbitol liquid

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

charcoal w/sorbitol 25 gm Susp 120 mL

National pricing summary

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Low

$18

Average

$70

Median

$78

High

$92

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Reflects a negotiated percentage of total billed charges.

Price distribution

Percent of billed charges methodology

Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 18 hospitals; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.

Click a bar to filter the hospitals table to that price range.

Hospitals reporting NDC 00574-0120-04

#	Hospital
1	White Memorial Medical Center Angeles, CA	$31	$34	$11	33%	92	$15 – $215
2	Lodi Memorial Hospital Association Inc Lodi, CA	$62	$72	$29	40%	25–52	$33 – $179
3	Indiana University Health West Hospital Inc. Avon, IN	$84	$82	$18	23%	—	$24 – $108
4	Indiana University Health North Hospital Inc. Carmel, IN	$84	$82	$18	23%	—	$24 – $108
5	Indiana University Health Inc. Indianapolis, IN	$84	$82	$18	23%	—	$24 – $108
6	Indiana University Health Paoli Inc. Paoli, IN	$105	$92	$20	22%	—	$35 – $114
7	Indiana University Health Bloomington Inc. Bloomington, IN	$88	$88	$22	25%	—	$25 – $142
8	Indiana University Health White Memorial Hospital Inc. Monticello, IN	$74	$75	$19	25%	—	$29 – $110
9	Indiana University Health Tipton Hospital Inc. Tipton, IN	$87	$82	$20	25%	—	$32 – $110
10	Indiana University Health Bedford Inc. Bedford, IN	$102	$91	$21	24%	—	$24 – $114

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