NDC 14789-0122-05
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
FLUORESCEIN SODIUM 10% VIAL
Low
$0
Average
$942
Median
$225
High
$8.4k
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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. 34 hospitals; the 90th percentile is 7604.2× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mid Columbia Medical Center Dalles, OR | $1.8k | $1.8k | — | — | — | $400 – $1.8k |
| 2 | Dignity Community Care Chandler, AZ | $30 | $33 | $18 | 53% | — | $11 – $65 |
| 3 | Dignity Health Gilbert, AZ | $30 | $32 | $16 | 50% | — | $11 – $59 |
| 4 | Memorial Medical Center San Augustine San Augustine, TX | $4.2k | $3.6k | $1.9k | 53% | — | $100 – $6.2k |
| 5 | St. Luke's Community Health Services Spring, TX | $168 | $223 | $179 | 80% | — | $53 – $871 |
| 6 | St Lukes Community Development Corporation - Sugar Land Sugar Land, TX | $168 | $227 | $180 | 80% | — | $53 – $871 |
| 7 | St. Lukes Hospital At The Vintage Houston, TX | $168 | $227 | $180 | 80% | — | $53 – $871 |
| 8 | Memorial Health System Of East Texas Lufkin, TX | $3.7k | $3.4k | $1.5k | 43% | — | $100 – $5.3k |
| 9 | Memorial Hospital Of Polk County Livingston, TX | $3.6k | $3.4k | $1.5k | 43% | — | $100 – $5.3k |
| 10 | St Luke's Lakeside Hospital, Llc The Woodlands, TX | $165 | $224 | $179 | 80% | — | $53 – $871 |
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