NDC 00904-2992-35
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
Tetrahydrozoline Ophth Soln 0.05% 15 mL
Reported by 1 hospital in the network under the per diem methodology.
Low
$142
Average
$142
Median
$142
High
$142
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Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Indiana University Health Bloomington Inc. Bloomington, IN | $142 | $142 | — | — | — | $6 – $142 |
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