NDC 10135-0104-04
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
Glycerin Topical Liquid
Reported by 4 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$57
Median
$71
High
$85
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Piney Woods Healthcare System LP Lufkin, TX | $1 | $1 | $0 | 15% | — | $1 – $8 |
| 2 | Chi Memorial Hospital - Georgia Ringgold, GA | $73 | $59 | $29 | 49% | — | $16 – $84 |
| 3 | Memorial Health Care System Inc. Hixson, TN | $104 | $85 | $26 | 30% | — | $21 – $104 |
| 4 | Memorial Health Care System Inc. Chattanooga, TN | $104 | $84 | $25 | 30% | — | $22 – $104 |
Ask Claude or any MCP client for NDC 10135-0104-04 pricing at a specific hospital — see how to connect.