NDC 00904-2728-35
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
sod sulfacetamide 10% Ophth Soln 15 mL
Reported by 26 hospitals in the network under the fee schedule methodology.
Low
$36
Average
$233
Median
$196
High
$1.2k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 26 hospitals; the 90th percentile is 11.5× 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.
| # | 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 | Glendale Adventist Medical Center | Glendale, CA | $912 | $1.2k | $498 | — | $258 | $2.2k |
| 2 | Simi Valley Hospital And Health Care Services | Valley, CA | $345 | $345 | — | — | $84 | $345 |
| 3 | Rideout Memorial Hospital | Marysville, CA | $393 | $417 | $82 | — | $248 | $579 |
| 4 | Reedley Community Hospital | Reedley, CA | $243 | $255 | $26 | — | $93 | $301 |
| 5 | Adventist Health Clearlake Hospital Inc | Clearlake, CA | $195 | $237 | $60 | — | $41 | $322 |
| 6 | Adventist Health Mendocino Coast | Bragg, CA | $427 | $427 | $214 | — | $81 | $641 |
| 7 | White Memorial Medical Center | Angeles, CA | $68 | $85 | $41 | — | $16 | $237 |
| 8 | Willits Hospital Inc | Willits, CA | $290 | $290 | — | — | $58 | $290 |
| 9 | Dignity Community Care | Woodland, CA | $217 | $194 | $74 | — | $30 | $277 |
| 10 | Dignity Community Care | Sacramento, CA | $224 | $772 | $2.4k | — | $97 | $11.4k |
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