NDC 00069-3030-20
Reported by 13 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$4
Average
$130
Median
$162
High
$300
| # | 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 | Mid Columbia Medical Center | Dalles, OR | $300 | $300 | $148 | — | $70 | $448 |
| 2 | University Health Shreveport, Llc | Shreveport, LA | $20 | $27 | $15 | — | $4 | $49 |
| 3 | Southern Regional Medical Corporation | Houma, LA | $16 | $22 | $11 | — | $4 | $51 |
| 4 | Ochsner Medical Center � Hancock Llc | Bay St. Louis, MS | $40 | $44 | $6 | — | $40 | $52 |
| 5 | St. Lukes Hospital of Kansas City | City, KS | $4 | $4 | $0 | — | $3 | $210 |
| 6 | Baptist Healthcare System Inc. | Louisville, KY | $126 | $168 | $55 | — | $3 | $245 |
| 7 | Baptist Healthcare System Inc | Lexington, KY | $127 | $173 | $60 | — | $3 | $249 |
| 8 | Baptist Healthcare System Inc | Grange, KY | $126 | $168 | $55 | — | $3 | $245 |
| 9 | Baptist Healthcare System Inc | Paducah, KY | $126 | $168 | $55 | — | $3 | $245 |
| 10 | Baptist Healthcare System Inc | Richmond, KY | $123 | $156 | $49 | — | $3 | $236 |
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