NDC 00169-2660-15
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
NON-COVERED ITEM OR SERVICE
Low
$1
Average
$144
Median
$93
High
$862
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 131 hospitals; the 90th percentile is 284.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD | $2 | $2 | $0 | 25% | 16–25 | $1 – $2 |
| 2 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA | $193 | $181 | $42 | 23% | 2–20 | $6 – $249 |
| 3 | Norton Kings Daughters Health Inc Madison, IN | $79 | $73 | $13 | 18% | 1–10 | $21 – $84 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA | $97 | $92 | $38 | 41% | — | $26 – $143 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA | $76 | $87 | $39 | 44% | — | $26 – $143 |
| 6 | UPMC Magee-Womens Hospital Pittsburgh, PA | $1 | $1 | $1 | 38% | — | $0 – $36 |
| 7 | UPMC St Margaret Pittsburgh, PA | $1 | $1 | $1 | 46% | — | $1 – $36 |
| 8 | UPMC Presbyterian Pittsburgh, PA | $2 | $2 | $1 | 30% | — | $0 – $33 |
| 9 | UPMC Passavant - McCandless Pittsburgh, PA | $1 | $2 | $1 | 39% | — | $1 – $37 |
| 10 | UPMC Mercy Pittsburgh, PA | $1 | $1 | $1 | 40% | — | $1 – $37 |
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