NDC 66689-0202-04
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
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION
Based on 172 billing samples across every hospital reporting.
Low
$0
Average
$140
Median
$52
High
$8.5k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 214 hospitals; the 90th percentile is 11.3× 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 | Boston Children's Hospital Boston, MA | $99 | $96 | $20 | 20% | 172 | $31 – $126 |
| 2 | IOM Health System LP Fort Wayne, IN | $43 | $48 | $18 | 37% | — | $22 – $80 |
| 3 | Bluffton Health System LLC Bluffton, IN | $20 | $20 | $7 | 34% | — | $8 – $29 |
| 4 | Dukes Health System LLC Peru, IN | $57 | $61 | $28 | 45% | — | $23 – $126 |
| 5 | Warsaw Health System LLC Warsaw, IN | $81 | $81 | $27 | 34% | — | $29 – $129 |
| 6 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $25 | $27 | $10 | 35% | — | $12 – $51 |
| 7 | St. Joseph Health System, LLC Wayne, IN | $79 | $85 | $31 | 37% | — | $33 – $137 |
| 8 | Dupont Hospital LLC Wayne, IN | $41 | $45 | $16 | 37% | — | $19 – $72 |
| 9 | Wesley Health System LLC Hattiesburg, MS | $56 | $63 | $37 | 58% | — | $15 – $134 |
| 10 | Vicksburg Healthcare LLC Vicksburg, MS | $145 | $155 | $94 | 60% | — | $49 – $357 |
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