NDC 65053001
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
ophthalmic irrigation extraocular Soln-Opth 30 mL
Reported by 13 hospitals in the network under the other methodology.
Low
$12
Average
$136
Median
$136
High
$440
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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 14.8× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Naples HMA LLC Naples, FL | $232 | $212 | $53 | 25% | 1–10 | $42 – $232 |
| 2 | Naples HMA LLC Naples, FL | $232 | $212 | $53 | 25% | 1–10 | $42 – $232 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $214 | $214 | — | — | — | $51 – $214 |
| 4 | Natchez Hospital Company LLC Natchez, MS | $225 | $197 | $78 | 40% | — | $13 – $261 |
| 5 | Naples HMA LLC Naples, FL | $232 | $204 | $55 | 27% | — | $42 – $232 |
| 6 | Vicksburg Healthcare LLC Vicksburg, MS | $458 | $440 | $180 | 41% | — | $83 – $611 |
| 7 | Northwest Hospital LLC Tucson, AZ | $11 | $14 | $4 | 32% | — | $5 – $38 |
| 8 | Metro Knoxville HMA LLC Knoxville, TN | $25 | $25 | — | — | — | $11 – $41 |
| 9 | Metro Knoxville HMA LLC Powell, TN | $25 | $25 | — | — | — | $11 – $57 |
| 10 | Affinity Hospital LLC Birmingham, AL | $136 | $136 | $34 | 25% | — | $26 – $170 |
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