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
00904-6488-38 - ocular lubricant 0 / 1 app Oint-
Reported by 12 hospitals in the network under the per diem methodology.
Low
$1
Average
$2.7k
Median
$3.5k
High
$5.0k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 551.2× 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 | $12 | $12 | — | — | — | $11 – $60 |
| 2 | Affinity Hospital LLC Birmingham, AL | $8 | $8 | — | — | — | $5 – $27 |
| 3 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $8 – $1.5k |
| 4 | East Georgia Regional Medical Center LLC Statesboro, GA | $900 | $900 | — | — | — | $21 – $900 |
| 5 | Longview Medical Center LP Longview, TX | $1 | $1 | $0 | 41% | — | $1 – $14 |
| 6 | Arkansas Childrens Hospital Little Rock, AR | $3.9k | $3.9k | $437 | 11% | — | $3.1k – $5.2k |
| 7 | Arkansas Childrens Northwest Springdale, AR | $3.6k | $3.5k | $227 | 6% | — | $3.1k – $5.2k |
| 8 | The Queens Medical Center Honolulu, HI | $4.9k | $5.0k | $229 | 5% | — | $4.8k – $5.3k |
| 9 | The Queens Medical Center Ewa Beach, HI | $4.8k | $4.8k | $356 | 7% | — | $4.5k – $5.3k |
| 10 | Queens North Hawaii Community Hospital Waimea, HI | $3.7k | $3.4k | $462 | 14% | — | $2.7k – $3.7k |
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