NDC 71384-0632-05
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
MYDRIATIC 4 [063205]
Low
$19
Average
$123
Median
$49
High
$717
Filter by billing methodology
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. 29 hospitals; the 90th percentile is 14.6× 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 | Hendrick Medical Center Abilene, TX | $467 | $542 | $266 | 49% | 145–172 | $200 – $990 |
| 2 | Hendrick Medical Center Abilene, TX | $467 | $542 | $266 | 49% | 145–172 | $200 – $990 |
| 3 | Benefis Hospitals Inc Falls, MT | $388 | $382 | $31 | 8% | — | $280 – $418 |
| 4 | Indiana University Health West Hospital Inc. Avon, IN | $49 | $48 | $11 | 23% | — | $14 – $63 |
| 5 | Indiana University Health North Hospital Inc. Carmel, IN | $49 | $48 | $11 | 23% | — | $14 – $63 |
| 6 | Indiana University Health Inc. Indianapolis, IN | $49 | $48 | $11 | 23% | — | $14 – $63 |
| 7 | Indiana University Health Paoli Inc. Paoli, IN | $61 | $54 | $12 | 22% | — | $20 – $66 |
| 8 | Indiana University Health Bloomington Inc. Bloomington, IN | $51 | $52 | $13 | 25% | — | $15 – $142 |
| 9 | Indiana University Health White Memorial Hospital Inc. Monticello, IN | $43 | $44 | $11 | 25% | — | $17 – $64 |
| 10 | Indiana University Health Tipton Hospital Inc. Tipton, IN | $51 | $48 | $12 | 25% | — | $19 – $64 |
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