NDC 17478-0064-12
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
17478-0064-12 - hydroxypropyl methylcellulose opht
Reported by 13 hospitals in the network under the other methodology.
Low
$5
Average
$52
Median
$56
High
$213
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 13 hospitals; the 90th percentile is 5.6× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $213 | $213 | — | — | — | $51 – $213 |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $11 | $11 | $0 | 2% | — | $5 – $38 |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $11 | $11 | $0 | 2% | — | $5 – $38 |
| 4 | Northwest Hospital LLC Tucson, AZ | $11 | $14 | $4 | 32% | — | $5 – $38 |
| 5 | Metro Knoxville HMA LLC Powell, TN | $19 | $19 | — | — | — | $8 – $44 |
| 6 | Triad of Alabama LLC Dothan, AL | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Northside Hospital, Inc. Lawrenceville, GA | $67 | $57 | $29 | 51% | — | $19 – $128 |
| 8 | Northside Hospital, Inc. Canton, GA | $69 | $57 | $31 | 55% | — | $14 – $128 |
| 9 | Northside Hospital, Inc. Atlanta, GA | $69 | $59 | $29 | 49% | — | $21 – $128 |
| 10 | Northside Hospital, Inc. Duluth, GA | $67 | $56 | $31 | 55% | — | $16 – $128 |
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