NDC 65628-0050-01
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
FIRST - MOUTHWASH BLM
Low
$0
Average
$51
Median
$11
High
$350
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. 30 hospitals; the 90th percentile is 16312.5× 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 | The Charlotte Mecklenburg Hospital Authority Monroe, NC | $22 | $22 | — | — | 219 | $22 – $506 |
| 2 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC | $6 | $6 | $5 | 82% | 139–148 | $1 – $516 |
| 3 | The Charlotte Mecklenburg Hospital Authority Concord, NC | $11 | $11 | $0 | 0% | 99 | $11 – $506 |
| 4 | Carolinas Medical Center Charlotte, NC | $203 | $152 | $72 | 48% | 84–129 | $39 – $490 |
| 5 | Carolinas Medical Center Charlotte, NC | $13 | $15 | $3 | 22% | 61–88 | $13 – $479 |
| 6 | Atrium Health Hospitals Inc Shelby, NC | $39 | $39 | — | — | 56 | $39 – $506 |
| 7 | The Medical Center of Central Georgia Inc Macon, GA | $39 | $39 | — | — | 56 | $39 – $940 |
| 8 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC | $22 | $22 | $13 | 60% | 16–25 | $9 – $490 |
| 9 | Northside Hospital, Inc. Cumming, GA | $14 | $11 | $6 | 55% | 6–60 | $3 – $25 |
| 10 | Northside Hospital, Inc. Lawrenceville, GA | $13 | $11 | $6 | 51% | 5–50 | $4 – $25 |
Ask Claude or any MCP client for NDC 65628-0050-01 pricing at a specific hospital — see how to connect.