NDC 904598426

00904-5984-26 - ammonium lactate topical 12 Lotio

Reported by 93 hospitals in the network.

National pricing summary

Based on 633–660 billing samples across every hospital reporting.

Low

Average

$287

Median

$33

High

$5.0k

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Price distribution

All methodologies

Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 93 hospitals; the 90th percentile is 60.8× 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.

Hospitals reporting NDC 904598426

#	Hospital	Location
1	Tri-City Medical Center	Oceanside, CA	$72	$92	$42	460–478	$31	$162
2	Boston Children's Hospital	Boston, MA	$33	$33	$6	172	$22	$42
3	Naples HMA LLC	Naples, FL	$19	$19	$11	1–10	$6	$34
4	IOM Health System LP	Fort Wayne, IN	$59	$66	$24	—	$30	$111
5	Bluffton Health System LLC	Bluffton, IN	$44	$43	$15	—	$17	$63
6	Dukes Health System LLC	Peru, IN	$65	$70	$32	—	$27	$144
7	Warsaw Health System LLC	Warsaw, IN	$58	$57	$20	—	$21	$92
8	Lutheran Musculoskeletal Center LLC	Fort Wayne, IN	$54	$59	$21	—	$27	$111
9	St. Joseph Health System, LLC	Wayne, IN	$42	$45	$17	—	$18	$73
10	Dupont Hospital LLC	Wayne, IN	$38	$41	$15	—	$18	$66

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