NDC 00259-1610-01
Reported by 25 hospitals in the network under the other methodology.
Based on 4–40 billing samples across every hospital reporting.
Low
$2
Average
$385
Median
$7
High
$3.2k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 25 hospitals; the 90th percentile is 156.1× 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 | 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 | Froedtert Memorial Lutheran Hospital Inc | Milwaukee, WI | $249 | $249 | — | 4–40 | $5 | $2.4k |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $201 | $201 | — | — | $5 | $201 |
| 3 | West Virginia University Hospitals, Inc. | Morgantown, WV | $6 | $6 | $2 | — | $3 | $14 |
| 4 | City Hospital, Inc. | Martinsburg, WV | $6 | $6 | $1 | — | $5 | $9 |
| 5 | University Health Shreveport, Llc | Shreveport, LA | $743 | $782 | $461 | — | $5 | $1.4k |
| 6 | Southern Regional Medical Corporation | Houma, LA | $409 | $448 | $333 | — | $5 | $1.3k |
| 7 | Nebraska Medical Center | Omaha, NE | $2.7k | $3.2k | $1.4k | — | $6 | $6.9k |
| 8 | Bellevue Medical Center Llc | Bellevue, NE | $2.7k | $3.2k | $1.4k | — | $6 | $6.9k |
| 9 | University of Arkansas for Medical Sciences | Little Rock, AR | $5 | $6 | $2 | — | $3 | $887 |
| 10 | Prisma Health Tuomey Hospital | SUMTER, SC | $5 | $6 | $1 | — | $5 | $4.0k |
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