NDC 904110231
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
00904-1102-31 - povidone iodine topical 10 Ointme
Low
$0
Average
$5
Median
$3
High
$11
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 7.8× 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 | Dukes Health System LLC Peru, IN | $2 | $3 | $1 | 39% | — | $2 – $12 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $2 | $3 | $1 | 35% | — | $2 – $44 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $9 | $9 | — | — | — | $1 – $9 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $11 | $11 | — | — | — | $2 – $11 |
| 5 | Hillsdale Hospital Hillsdale, MI | $0 | $0 | — | — | — | $0 – $8 |
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