NDC 4858200330
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
SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH
Low
$0
Average
$16
Median
$13
High
$33
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 31 hospitals; the 90th percentile is 2.4× 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 | Catholic Health Initiatives Colorado Colorado Springs, CO | $10 | $10 | $4 | 39% | — | $5 – $18 |
| 2 | Catholic Health Initiatives Colorado Salt Lake City, UT | $11 | $12 | $4 | 29% | — | $7 – $20 |
| 3 | Catholic Health Initiatives Colorado Colorado Springs, CO | $10 | $12 | $4 | 35% | — | $5 – $18 |
| 4 | Catholic Health Initiatives Colorado Lehi, UT | $11 | $12 | $4 | 30% | — | $7 – $20 |
| 5 | St Francis Hospital Colorado Springs, CO | $9 | $10 | $4 | 37% | — | $5 – $17 |
| 6 | Longmont United Hospital Longmont, CO | $8 | $10 | $4 | 44% | — | $5 – $18 |
| 7 | Catholic Health Initiatives Colorado Frisco, CO | $12 | $13 | $4 | 32% | — | $5 – $19 |
| 8 | Commonspirit Kansas, Inc. Ulysses, KS | $17 | $14 | $5 | 38% | — | $6 – $19 |
| 9 | Commonspirit Kansas, Inc. Dodge City, KS | $16 | $15 | $3 | 18% | — | $7 – $18 |
| 10 | Catholic Health Initiatives Colorado Pueblo, CO | $12 | $12 | $4 | 34% | — | $6 – $18 |
Ask Claude or any MCP client for NDC 4858200330 pricing at a specific hospital — see how to connect.