NDC 00409-4121-01
Reported by 15 hospitals in the network.
Filter by billing methodology
Based on 2,850 billing samples across every hospital reporting.
Low
$10
Average
$55
Median
$49
High
$152
| # | 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 | Saint Luke’s East Hospital | Summit, MO | $58 | $62 | $55 | 2,850 | $4 | $192 |
| 2 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $72 | $70 | $45 | — | $9 | $134 |
| 3 | Northwestern Memorial Hospital | Chicago, IL | $54 | $75 | $70 | — | $3 | $214 |
| 4 | Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $156 | $152 | $47 | — | $39 | $214 |
| 5 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $10 | $11 | $4 | — | $4 | $20 |
| 6 | Vanderbilt Wilson County Hospital | Lebanon, TN | $6 | $26 | $40 | — | $4 | $133 |
| 7 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $8 | $40 | $48 | — | $3 | $133 |
| 8 | Vanderbilt University Medical Center | Nashville, TN | $6 | $26 | $40 | — | $4 | $133 |
| 9 | Vanderbilt Bedford Hospital | Shelbyville, TN | $8 | $40 | $48 | — | $3 | $133 |
| 10 | Prisma Health Greenville Memorial Hospital | GREENVILLE, SC | $37 | $87 | $83 | — | $5 | $224 |
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