NDC 00409-3793-01
Reported by 16 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 117–126 billing samples across every hospital reporting.
Low
$0
Average
$0
Median
$0
High
$1
| # | 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT | CROWN POINT, IN | $0 | $0 | $0 | 86 | $0 | $37 |
| 2 | Palos Community Hospital | Palos Heights, IL | $1 | $1 | — | 30 | $0 | $2 |
| 3 | The University of Texas Medical Branch | Galveston, TX | $0 | $0 | $0 | 1–10 | $0 | $15 |
| 4 | Mercy Health Lakeshore Campus | Shelby, MI | $0 | $0 | — | — | $0 | $13 |
| 5 | Mercy Health Saint Marys | Grand Rapids, MI | $0 | $0 | — | — | $0 | $14 |
| 6 | West Virginia University Hospitals, Inc. | Morgantown, WV | $0 | $0 | $0 | — | $0 | $1 |
| 7 | Herbert J Thomas Memorial Hospital Association | South Charleston, WV | $0 | $0 | $0 | — | $0 | $1 |
| 8 | City Hospital, Inc. | Martinsburg, WV | $0 | $0 | $0 | — | $0 | $1 |
| 9 | Prisma Health Blount Memorial Hospital | MARYVILLE, TN | $0 | $0 | $0 | — | $0 | $114 |
| 10 | OU Health - University of Oklahoma Medical Center | Oklahoma City, OK | $0 | $0 | $0 | — | $0 | $448 |
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