NDC 50004-0725-00
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
dextranomer-hyaluronate-NaCL 50-15 mg/mL (1) Syringe gel 1 mL SYRINGE
Based on 40–229 billing samples across every hospital reporting.
Low
$898
Average
$4.3k
Median
$3.1k
High
$15.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 25 hospitals; the 90th percentile is 6.7× 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 | Kaiser Foundation Hospital - Santa Clara SANTA CLARA, CA | $908 | $1.5k | $799 | 55% | 21–39 | $862 – $2.6k |
| 2 | Childrens Hospital Colorado Aurora, CO | $10.9k | $10.5k | $2.7k | 26% | 6–60 | $1.6k – $14.6k |
| 3 | Kaiser Foundation Hospital - Oakland/richmond Oakland, CA | $1.7k | $1.7k | $859 | 50% | 2–20 | $862 – $2.6k |
| 4 | Kaiser Foundation Hospital - Fremont FREMONT, CA | $1.7k | $1.7k | $836 | 48% | 2–20 | $908 – $2.6k |
| 5 | Kaiser Foundation Hospital - Los Angeles LOS ANGELES, CA | $1.8k | $1.8k | $753 | 41% | 2–20 | $1.1k – $2.6k |
| 6 | Kaiser Foundation Hospital - Vacaville VACAVILLE, CA | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 7 | Kaiser Foundation Hospital - Fontana FONTANA, CA | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 8 | Kaiser Foundation Hospital - Downey Downey, CA | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 9 | Kaiser Foundation Hospital - Riverside RIVERSIDE, CA | $898 | $898 | — | — | 1–10 | $898 – $898 |
| 10 | Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA | $898 | $898 | — | — | 1–10 | $898 – $898 |
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