NDC 00574-0120-74
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 (ACTIVATED) W/ SORBITOL 25 GM/120ML SUSP 120 ML TUBE
Reported by 2 hospitals in the network under the fee schedule methodology.
Low
$16
Average
$43
Median
$43
High
$71
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Ummc Holmes County LEXINGTON, MS | $71 | $71 | — | — | — | $0 – $1.9k |
| 2 | Greater Baltimore Medical Center Towson, MD | $16 | $16 | — | — | — | $15 – $16 |
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