NDC 69194-0112-01
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
EDETATE DISODIUM 1.5% PF OPHTHALMIC SOLUTION
Low
$171
Average
$201
Median
$201
High
$223
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 1.3× 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 | Fairview Health Services Minneapolis, MN | $175 | $175 | $53 | 30% | — | $58 – $257 |
| 2 | Fairview Health Services Edina, MN | $172 | $177 | $57 | 32% | — | $58 – $257 |
| 3 | Fairview Health Services Burnsville, MN | $172 | $177 | $57 | 32% | — | $58 – $257 |
| 4 | HealthEast St John's Hospital Maplewood, MN | $172 | $177 | $57 | 32% | — | $58 – $257 |
| 5 | Fairview Bethesda Hospital St. Paul, MN | $172 | $171 | $47 | 28% | — | $71 – $257 |
| 6 | Fairview Health Services Princeton, MN | $206 | $185 | $59 | 32% | — | $58 – $279 |
| 7 | Fairview Health Services Wyoming, MN | $206 | $185 | $59 | 32% | — | $58 – $279 |
| 8 | HealthEast Woodwinds Hospital Woodbury, MN | $172 | $177 | $57 | 32% | — | $58 – $257 |
| 9 | Fairview Maple Grove Surgery Center Maple Grove, MN | $206 | $200 | $40 | 20% | — | $143 – $257 |
| 10 | Boston Children's Hospital Boston, MA | $223 | $218 | $38 | 17% | — | $145 – $282 |
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