NDC 42037-0104-79
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
42037-0104-79 - carbamide peroxide otic 6.5 Soln
Reported by 10 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$50
Median
$19
High
$155
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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. 10 hospitals; the 90th percentile is 294.2× 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 | Dukes Health System LLC Peru, IN | $4 | $5 | $2 | 40% | — | $3 – $18 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $2 | $2 | $1 | 34% | — | $2 – $30 |
| 3 | Chi Memorial Hospital - Georgia Ringgold, GA | $134 | $107 | $53 | 49% | — | $28 – $153 |
| 4 | Memorial Health Care System Inc. Hixson, TN | $189 | $155 | $47 | 30% | — | $38 – $189 |
| 5 | Memorial Health Care System Inc. Chattanooga, TN | $189 | $152 | $46 | 30% | — | $40 – $189 |
| 6 | Memorial Medical Center San Augustine San Augustine, TX | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 7 | Memorial Health System Of East Texas Lufkin, TX | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 8 | Memorial Hospital Of Polk County Livingston, TX | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $34 | $34 | — | — | — | $4 – $34 |
| 10 | North Oaks Medical Center Drive. Hammond, LA | $50 | $47 | $21 | 45% | — | $14 – $73 |
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