NDC 00054-3177-57
Reported by 8 hospitals in the network under the other methodology.
Based on 289–307 billing samples across every hospital reporting.
Low
$2
Average
$139
Median
$4
High
$1.1k
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. 8 hospitals; the 90th percentile is 141.6× 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 | Childrens Hospital Colorado | Aurora, CO | $4 | $5 | $2 | 289–307 | $3 | $316 |
| 2 | Sierra Vista Hospital Inc | Obispo, CA | $1.1k | $1.1k | — | — | $284 | $1.1k |
| 3 | Lafayette General Medical Center Inc | Lafayette, LA | $2 | $3 | $2 | — | $0 | $8 |
| 4 | Rush Medical Foundation | Meridian, MS | $4 | $4 | $1 | — | $0 | $6 |
| 5 | St Martin Hospital Inc | Breaux Bridge, LA | $6 | $6 | $4 | — | $0 | $25 |
| 6 | Nebraska Medical Center | Omaha, NE | $2 | $2 | $1 | — | $0 | $5 |
| 7 | Bellevue Medical Center Llc | Bellevue, NE | $2 | $2 | $1 | — | $0 | $5 |
| 8 | St. Lukes Hospital of Kansas City | City, KS | $3 | $3 | $2 | — | $0 | $379 |
Ask Claude or any MCP client for NDC 00054-3177-57 pricing at a specific hospital — see how to connect.