NDC 65035902
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
00065-0359-02 - cyclopentolate-phenylephrine ophth
Low
$8
Average
$133
Median
$81
High
$580
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 19 hospitals; the 90th percentile is 25.6× 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 | Bluffton Health System LLC Bluffton, IN | $97 | $97 | — | — | — | $90 – $336 |
| 2 | Dukes Health System LLC Peru, IN | $436 | $427 | $76 | 18% | — | $252 – $1.4k |
| 3 | St. Joseph Health System, LLC Wayne, IN | $580 | $580 | — | — | — | $139 – $580 |
| 4 | Wesley Health System LLC Hattiesburg, MS | $328 | $328 | $47 | 14% | — | $42 – $375 |
| 5 | Northwest Sahurita Hospital LLC Tucson, AZ | $42 | $42 | $1 | 2% | — | $19 – $104 |
| 6 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $42 | $42 | $1 | 2% | — | $19 – $104 |
| 7 | Oro Valley Hospital LLC Tucson, AZ | $42 | $52 | $16 | 31% | — | $20 – $126 |
| 8 | Northwest Hospital LLC Tucson, AZ | $42 | $52 | $16 | 32% | — | $20 – $126 |
| 9 | Affinity Hospital LLC Birmingham, AL | $326 | $326 | $82 | 25% | — | $61 – $408 |
| 10 | Laredo Texas Hospital Company LP Laredo, TX | $14 | $14 | $0 | 2% | — | $7 – $133 |
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