NDC 00069-1306-10
Reported by 45 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 12 billing samples across every hospital reporting.
Low
$4
Average
$117
Median
$11
High
$700
| # | 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 | Northwestern Medicine Delnor Hospital | Geneva, IL | $4 | $4 | — | 12 | $4 | $310 |
| 2 | Castle Medical Center | Kailua, HI | $257 | $257 | — | — | $37 | $257 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $703 | $700 | $244 | — | $162 | $998 |
| 4 | White Memorial Medical Center | Angeles, CA | $556 | $556 | $144 | — | $105 | $1.6k |
| 5 | Mount Sinai Rehabilitation Hospital, Inc | Hartford, CT | $8 | $9 | $3 | — | $7 | $94 |
| 6 | Saint Francis Hospital and Medical Center | Hartford, CT | $8 | $9 | $3 | — | $7 | $80 |
| 7 | Saint Alphonsus Medical Center - Ontario | Ontario, OR | $8 | $9 | $4 | — | $7 | $151 |
| 8 | Holy Cross Hospital-Silver Spring | Silver Spring, MD | $8 | $8 | — | — | $8 | $166 |
| 9 | St Mary Medical Center | Langhorne, PA | $9 | $11 | $4 | — | $6 | $207 |
| 10 | Nazareth Hospital | Philadelphia, PA | $9 | $11 | $4 | — | $6 | $474 |
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