NDC 00121-4772-05
Reported by 11 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Based on 1,400–1,544 billing samples across every hospital reporting.
Low
$4
Average
$26
Median
$17
High
$68
| # | 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 | $51 | $49 | $13 | 1,308–1,452 | $8 | $70 |
| 2 | White Memorial Medical Center | Angeles, CA | $21 | $23 | $8 | 92 | $10 | $146 |
| 3 | Mercy Medical Center - Dubuque | Dubuque, IA | $7 | $7 | $2 | — | $2 | $9 |
| 4 | Covenant Medical Center Inc | Waterloo, IA | $8 | $7 | $2 | — | $2 | $9 |
| 5 | Catholic Health Initiatives-Iowa Corp | West Des Moines, IA | $3 | $4 | $2 | — | $2 | $9 |
| 6 | Mercy Medical Center - Dyersville | Dyersville, IA | $7 | $7 | $1 | — | $3 | $10 |
| 7 | MaineHealth | Belfast, ME | $79 | $68 | $19 | — | $35 | $81 |
| 8 | UCHealth Broomfield Hospital | Broomfield, CO | $10 | $11 | $3 | — | $6 | $20 |
| 9 | SwedishAmerican Hospital | Rockford, IL | $64 | $65 | $25 | — | $15 | $124 |
| 10 | Methodist Lebonheur Germantown Hosp | GERMANTOWN, TN | $17 | $17 | $7 | — | $2 | $588 |
Ask Claude or any MCP client for NDC 00121-4772-05 pricing at a specific hospital — see how to connect.