NDC 00574-0122-25
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
ACTIVATED CHARCOAL 25 GRAM ORAL SUSPENSION
Reported by 2 hospitals in the network under the case rate methodology.
Low
$280
Average
$3.6k
Median
$3.6k
High
$6.9k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sharp Coronado Hospital and Healthcare Center | Coronado, CA | $280 | $280 | — | — | $4 | $305 |
| 2 | Baylor University Medical Center | Dallas, TX | $6.9k | $6.9k | $556 | — | $10 | $7.4k |
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