NDC 904649035
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
00904-6490-35 - sodium chloride hypertonic ophth
Low
$2
Average
$36
Median
$10
High
$160
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 53.0× 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 | Bluffton Health System LLC Bluffton, IN | $4 | $4 | — | — | — | $4 – $13 |
| 2 | Dukes Health System LLC Peru, IN | $17 | $17 | $3 | 18% | — | $10 – $53 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $58 | $58 | — | — | — | $14 – $58 |
| 4 | Oro Valley Hospital LLC Tucson, AZ | $2 | $2 | $1 | 31% | — | $1 – $7 |
| 5 | Northwest Hospital LLC Tucson, AZ | $2 | $2 | $1 | 32% | — | $1 – $7 |
| 6 | Metro Knoxville HMA LLC Knoxville, TN | $11 | $11 | — | — | — | $5 – $18 |
| 7 | Affinity Hospital LLC Birmingham, AL | $160 | $160 | $40 | 25% | — | $30 – $200 |
| 8 | Gadsden Regional Medical Center LLC Gadsden, AL | $146 | $146 | — | — | — | $146 – $146 |
| 9 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO | $8 | $8 | — | — | — | $3 – $12 |
| 10 | La Porte Hospital Company LLC La Porte, IN | $4 | $4 | — | — | — | $4 – $15 |
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