NDC 71266-6360-01
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
LIDOCAINE-PHENYLEPHRINE-BSS 1-1.5% OPTHLAM 1ML [6360-01]
Low
$6
Average
$56
Median
$44
High
$173
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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. 59 hospitals; the 90th percentile is 12.4× 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 | Hendrick Medical Center Abilene, TX | $107 | $124 | $61 | 49% | 145–172 | $46 – $226 |
| 2 | Hendrick Medical Center Abilene, TX | $107 | $124 | $61 | 49% | 145–172 | $46 – $226 |
| 3 | Yampa Valley Medical Center Steamboat Springs, CO | $94 | $92 | $11 | 12% | 4–40 | $54 – $105 |
| 4 | Northwestern Memorial Hospital Chicago, IL | $19 | $18 | $1 | 7% | — | $17 – $19 |
| 5 | Palos Community Hospital Palos Heights, IL | $42 | $45 | $21 | 47% | — | $10 – $71 |
| 6 | Gundersen Luthern Medical Center Inc La Crosse, WI | $21 | $19 | $5 | 28% | — | $9 – $27 |
| 7 | Sanford Behavioral Health Thief River Falls Thief River Falls, MN | $46 | $43 | $13 | 29% | — | $21 – $58 |
| 8 | Sanford Thief River Falls Medical Center Thief River Falls, MN | $46 | $43 | $13 | 29% | — | $21 – $58 |
| 9 | Mercy Medical Center - New Hampton New Hampton, IA | $12 | $10 | $3 | 27% | — | $5 – $13 |
| 10 | Mercy Medical Center - Newton Newton, IA | $12 | $12 | $1 | 10% | — | $8 – $13 |
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