NDC 904648838
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
ocular lubricant Oint-Opth 3.5 gm
Reported by 28 hospitals in the network under the other methodology.
Low
$4
Average
$41
Median
$14
High
$465
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 17.1× 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 | Northwest Hospital LLC Tucson, AZ | $4 | $5 | $1 | 32% | 1–10 | $2 – $13 |
| 2 | Bluffton Health System LLC Bluffton, IN | $7 | $7 | — | — | — | $7 – $26 |
| 3 | Dukes Health System LLC Peru, IN | $19 | $19 | $3 | 18% | — | $11 – $60 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $65 | $65 | — | — | — | $16 – $65 |
| 5 | Naples HMA LLC Naples, FL | $83 | $76 | $19 | 25% | — | $15 – $83 |
| 6 | Naples HMA LLC Naples, FL | $83 | $73 | $20 | 27% | — | $15 – $83 |
| 7 | Naples HMA LLC Naples, FL | $83 | $76 | $19 | 25% | — | $15 – $83 |
| 8 | Northwest Sahurita Hospital LLC Tucson, AZ | $4 | $4 | $0 | 2% | — | $2 – $13 |
| 9 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $4 | $4 | $0 | 2% | — | $2 – $13 |
| 10 | Oro Valley Hospital LLC Tucson, AZ | $4 | $5 | $1 | 31% | — | $2 – $13 |
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