NDC 45802-0050-03
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
45802-0050-03 - dibucaine topical 1 Ointment
Reported by 13 hospitals in the network under the other methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$2
Average
$22
Median
$12
High
$64
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 13 hospitals; the 90th percentile is 28.8× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 1–10 | $3 | $13 |
| 2 | St. Joseph Health System, LLC | Wayne, IN | $31 | $31 | — | — | $7 | $31 |
| 3 | Natchez Hospital Company LLC | Natchez, MS | $73 | $64 | $26 | — | $4 | $85 |
| 4 | Northwest Sahurita Hospital LLC | Tucson, AZ | $2 | $2 | $0 | — | $1 | $6 |
| 5 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $2 | $2 | $0 | — | $1 | $6 |
| 6 | Northwest Hospital LLC | Tucson, AZ | $2 | $2 | $1 | — | $1 | $6 |
| 7 | Metro Knoxville HMA LLC | Powell, TN | $5 | $5 | — | — | $2 | $11 |
| 8 | Triad of Alabama LLC | Dothan, AL | $19 | $19 | — | — | $19 | $19 |
| 9 | QHG of Enterprise Inc | Enterprise, AL | $51 | $51 | $8 | — | $5 | $58 |
| 10 | Gadsden Regional Medical Center LLC | Gadsden, AL | $46 | $46 | — | — | $46 | $46 |
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