NDC 00074-3663-03
Reported by 65 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 14–140 billing samples across every hospital reporting.
Low
$1.4k
Average
$7.6k
Median
$2.2k
High
$34.3k
| # | 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 Kishwaukee Hospital | DeKalb, IL | $1.4k | $1.4k | — | 7–70 | $1.4k | $22.0k |
| 2 | Johnson Memorial Hospital | Stafford Springs, CT | $1.8k | $2.2k | $833 | 3–30 | $1.7k | $15.7k |
| 3 | MaineHealth | North Conway, NH | $4.8k | $4.8k | — | 2–20 | $4.8k | $18.2k |
| 4 | Mercy Health Services-Iowa Corp. | Mason City, IA | $1.8k | $2.1k | $607 | 1–10 | $1.7k | $15.7k |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | INDIANAPOLIS, IN | $1.9k | $2.3k | $682 | 1–10 | $1.8k | $41.3k |
| 6 | Mid Columbia Medical Center | Dalles, OR | $1.8k | $11.2k | $23.8k | — | $1.8k | $86.2k |
| 7 | Saint Marys Hospital | Waterbury, CT | $1.8k | $2.2k | $827 | — | $1.7k | $16.5k |
| 8 | Saint Francis Hospital and Medical Center | Hartford, CT | $1.8k | $2.0k | $616 | — | $1.7k | $13.3k |
| 9 | St Joseph Mercy Chelsea | Chelsea, MI | $1.8k | $1.9k | $668 | — | $964 | $17.0k |
| 10 | St Mary Mercy Livonia | Livonia, MI | $1.8k | $1.9k | $668 | — | $964 | $17.0k |
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