NDC 904676130
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
oxymetazoline 0.05 Spray-Nasal 30 mL
Reported by 4 hospitals in the network under the fee schedule methodology.
Low
$2
Average
$9
Median
$6
High
$21
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Laredo Texas Hospital Company LP | Laredo, TX | $2 | $2 | $1 | — | $2 | $29 |
| 2 | Granbury Hospital Corporation | Granbury, TX | $13 | $21 | $13 | — | $6 | $88 |
| 3 | Navarro Hospital LP | Corsicana, TX | $3 | $4 | $2 | — | $1 | $15 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $9 | $9 | — | — | $1 | $9 |
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