NDC 00023-5858-01
Reported by 27 hospitals in the network under the other methodology.
Based on 15–24 billing samples across every hospital reporting.
Low
$0
Average
$1.4k
Median
$1.4k
High
$3.5k
Filter by billing methodology
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. 27 hospitals; the 90th percentile is 10.8× 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 | 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 | Denver Health and Hospital Authority | Denver, CO | $932 | $932 | — | 14 | $821 | $4.4k |
| 2 | The Charlotte Mecklenburg Hospital Authority | Charlotte, NC | $1.7k | $1.7k | — | 1–10 | $373 | $3.6k |
| 3 | St Joseph’s Health Services Inc | Hillsboro, WI | $1.1k | $1.0k | $321 | — | $201 | $1.3k |
| 4 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $201 | $201 | — | — | $201 | $862 |
| 5 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $201 | $201 | — | — | $201 | $201 |
| 6 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $1.3k | $1.1k | $371 | — | $201 | $1.3k |
| 7 | Memorial Hospital of Boscobel | Boscobel, WI | $984 | $886 | $259 | — | $201 | $984 |
| 8 | Tri-County Memorial Hospital Inc | Whitehall, WI | $987 | $875 | $275 | — | $201 | $987 |
| 9 | Northside Hospital, Inc. | Lawrenceville, GA | $2.2k | $2.0k | $910 | — | $732 | $4.9k |
| 10 | Northside Hospital, Inc. | Canton, GA | $2.2k | $2.0k | $923 | — | $544 | $4.9k |
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