NDC 904598426

00904-5984-26 - ammonium lactate topical 12 Lotio

Reported by 88 hospitals in the network under the percent of billed charges methodology.

National pricing summary

Based on 460–478 billing samples across every hospital reporting.

Low

Average

$47

Median

$28

High

$323

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a negotiated percentage of total billed charges.

Price distribution

Percent of billed charges methodology

Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 88 hospitals; the 90th percentile is 48.4× 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.

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	IOM Health System LP	Fort Wayne, IN	$59	$66	$24	—	$30	$111
3	Bluffton Health System LLC	Bluffton, IN	$44	$43	$15	—	$17	$63
4	Dukes Health System LLC	Peru, IN	$80	$86	$26	—	$27	$144
5	Warsaw Health System LLC	Warsaw, IN	$58	$57	$20	—	$21	$92
6	Lutheran Musculoskeletal Center LLC	Fort Wayne, IN	$54	$59	$21	—	$27	$111
7	St. Joseph Health System, LLC	Wayne, IN	$40	$45	$16	—	$18	$73
8	Dupont Hospital LLC	Wayne, IN	$38	$41	$15	—	$18	$66
9	Natchez Hospital Company LLC	Natchez, MS	$49	$85	$63	—	$13	$270
10	Durant HMA LLC	Durant, OK	$73	$60	$25	—	$14	$88

Page 1 of 9

Look up this code directly

Ask Claude or any MCP client for NDC 904598426 pricing at a specific hospital — see how to connect.