NDC 00409-1638-02
Reported by 10 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 130–157 billing samples across every hospital reporting.
Low
$3
Average
$12
Median
$9
High
$23
| # | 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 | $25 | $21 | $9 | 129–147 | $5 | $44 |
| 2 | Inspira Medical Center Vineland | Vineland, NJ | $3 | $3 | — | 1–10 | $3 | $53 |
| 3 | Ochsner Clinic Foundation | Orleans, LA | $5 | $9 | $8 | — | $5 | $29 |
| 4 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $4 | $8 | $6 | — | $4 | $25 |
| 5 | University Health Shreveport, Llc | Shreveport, LA | $4 | $9 | $5 | — | $4 | $16 |
| 6 | Brfhh Monroe, Llc | Monroe, LA | $3 | $8 | $6 | — | $3 | $16 |
| 7 | Southern Regional Medical Corporation | Houma, LA | $5 | $6 | $3 | — | $5 | $15 |
| 8 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana | LULING, LA | $20 | $23 | $6 | — | $20 | $38 |
| 9 | Rush Medical Foundation | Meridian, MS | $22 | $22 | $2 | — | $16 | $29 |
| 10 | Ochsner Medical Center � Kenner Llc | Kenner, LA | $6 | $15 | $11 | — | $6 | $33 |
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