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 2 hospitals in the network under the other methodology.
Low
$82
Average
$470
Median
$470
High
$857
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | $860 | $857 | $298 | — | $258 | $2.2k |
| 2 | White Memorial Medical Center | Angeles, CA | $82 | $82 | $21 | — | $16 | $237 |
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