NDC 00338-0126-12
Reported by 8 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 8–80 billing samples across every hospital reporting.
Low
$0
Average
$209
Median
$123
High
$732
| # | 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 | MaineHealth | Norway, ME | $0 | $0 | — | 8–80 | $0 | $197 |
| 2 | Castle Medical Center | Kailua, HI | $272 | $272 | — | — | $39 | $272 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $735 | $732 | $255 | — | $169 | $1.7k |
| 4 | Mid Columbia Medical Center | Dalles, OR | $416 | $416 | $206 | — | $98 | $622 |
| 5 | Sierra Vista Hospital Inc | Obispo, CA | $12 | $12 | — | — | $3 | $12 |
| 6 | White Memorial Medical Center | Angeles, CA | $235 | $235 | $61 | — | $44 | $677 |
| 7 | Nebraska Medical Center | Omaha, NE | $4 | $4 | $2 | — | $1 | $11 |
| 8 | Bellevue Medical Center Llc | Bellevue, NE | $4 | $4 | $2 | — | $1 | $11 |
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