NDC 00409-4264-01
Reported by 85 hospitals in the network.
Filter by billing methodology
Based on 525–1,506 billing samples across every hospital reporting.
Low
$0
Average
$38
Median
$26
High
$450
| # | 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 Alphonsus Regional Medical Center - Boise | Boise, ID | $49 | $50 | $12 | 166–292 | $0 | $68 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | INDIANAPOLIS, IN | $18 | $17 | $7 | 78–123 | $0 | $26 |
| 3 | Samaritan Hospital | Troy, NY | $23 | $27 | $8 | 32–149 | $0 | $41 |
| 4 | St Joseph Mercy Ann Arbor | Ypsilanti, MI | $32 | $38 | $15 | 13–130 | $16 | $68 |
| 5 | Saint Francis Hospital and Medical Center | Hartford, CT | $28 | $28 | $3 | 45–81 | $20 | $35 |
| 6 | Saint Marys Hospital | Waterbury, CT | $32 | $31 | $5 | 40–67 | $21 | $41 |
| 7 | Mount Carmel St Ann's | Westerville, OH | $19 | $33 | $79 | 35–71 | $18 | $632 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | CITY, IN | $16 | $16 | $6 | 39–66 | $0 | $28 |
| 9 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton | Brighton, MI | $32 | $38 | $16 | 9–90 | $15 | $68 |
| 10 | The Mercy Hospital Inc | Springfield, MA | $38 | $38 | $34 | 7–70 | $16 | $392 |
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