NDC 00409-4755-03
Reported by 7 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 42–105 billing samples across every hospital reporting.
Low
$0
Average
$5
Median
$1
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 | $7 | $7 | $5 | 39–75 | $0 | $17 |
| 2 | Inspira Medical Center Elmer | Elmer, NJ | $1 | $1 | — | 1–10 | $0 | $1 |
| 3 | Inspira Medical Center Mullica Hill | Hill, NJ | $0 | $0 | — | 1–10 | $0 | $1 |
| 4 | Inspira Medical Center Vineland | Vineland, NJ | $0 | $0 | — | 1–10 | $0 | $1 |
| 5 | Bellevue Medical Center Llc | Bellevue, NE | $19 | $23 | $10 | — | $0 | $58 |
| 6 | Sacred Heart-Riverbend | Springfield, OR | $0 | $1 | $0 | — | $0 | $2 |
| 7 | St. Lukes Hospital of Kansas City | City, KS | $1 | $1 | $0 | — | $0 | $45 |
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