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 20 hospitals in the network under the percent of billed charges methodology.
Based on 563–599 billing samples across every hospital reporting.
Low
$38
Average
$267
Median
$299
High
$476
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 20 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.
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 | $460 | $476 | $140 | 431–440 | $258 | $2.2k |
| 2 | White Memorial Medical Center | Angeles, CA | $34 | $38 | $12 | 92 | $16 | $237 |
| 3 | Rideout Memorial Hospital | Marysville, CA | $299 | $293 | $27 | 37 | $248 | $579 |
| 4 | Simi Valley Hospital And Health Care Services | Valley, CA | $175 | $176 | $49 | 1–10 | $84 | $345 |
| 5 | Reedley Community Hospital | Reedley, CA | $116 | $122 | $27 | 1–10 | $93 | $301 |
| 6 | Adventist Health Clearlake Hospital Inc | Clearlake, CA | $155 | $131 | $52 | 1–10 | $41 | $322 |
| 7 | Adventist Health Mendocino Coast | Bragg, CA | $156 | $149 | $31 | — | $81 | $641 |
| 8 | Willits Hospital Inc | Willits, CA | $206 | $177 | $71 | — | $58 | $290 |
| 9 | Indiana University Health West Hospital Inc. | Avon, IN | $320 | $312 | $70 | — | $91 | $410 |
| 10 | Indiana University Health North Hospital Inc. | Carmel, IN | $320 | $312 | $70 | — | $91 | $410 |
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