NDC 00574-0521-76
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
ACTIDOSE-AQUA(CHARCOAL)50GM/240ML
Low
$24
Average
$51
Median
$55
High
$73
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 2.7× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. Canton, GA | $68 | $55 | $31 | 55% | 4–40 | $14 – $125 |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $66 | $56 | $29 | 51% | 1–10 | $19 – $125 |
| 3 | Northside Hospital, Inc. Atlanta, GA | $68 | $57 | $28 | 49% | — | $20 – $125 |
| 4 | Northside Hospital, Inc. Duluth, GA | $66 | $55 | $30 | 55% | — | $16 – $125 |
| 5 | Northside Hospital, Inc. Cumming, GA | $68 | $55 | $30 | 55% | — | $15 – $125 |
| 6 | Ochsner Bayou Llc Raceland, LA | $22 | $28 | $15 | 54% | — | $20 – $68 |
| 7 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana LULING, LA | $38 | $43 | $12 | 28% | — | $38 – $72 |
| 8 | Rush Medical Foundation Meridian, MS | $73 | $73 | $6 | 8% | — | $9 – $97 |
| 9 | Scott Regional Medical Center, Inc. Morton, MS | $61 | $64 | $5 | 8% | — | $44 – $97 |
| 10 | Kemper CAH, Inc. DeKalb, MS | $73 | $73 | $5 | 8% | — | $49 – $97 |
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