NDC 00143-9634-01
Reported by 8 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 1,200 billing samples across every hospital reporting.
Low
$4
Average
$26
Median
$26
High
$43
| # | 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 | Piedmont Augusta | Augusta, GA | $16 | $21 | $7 | 1,200 | $14 | $442 |
| 2 | Piedmont Mcduffie Hospital | Thomson, GA | $28 | $25 | $7 | — | $16 | $442 |
| 3 | Piedmont Eastside | Snellville, GA | $16 | $23 | $8 | — | $16 | $442 |
| 4 | Bellevue Medical Center Llc | Bellevue, NE | $4 | $4 | $1 | — | $1 | $8 |
| 5 | York Hospital | York, PA | $17 | $30 | $19 | — | $15 | $326 |
| 6 | Gettysburg Hospital | Gettysburg, PA | $18 | $32 | $19 | — | $15 | $326 |
| 7 | Good Samaritan Hospital | Lebanon, PA | $15 | $26 | $20 | — | $0 | $522 |
| 8 | Waynesboro Hospital | Waynesboro, PA | $51 | $43 | $22 | — | $11 | $103 |
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