NDC 00409-7295-01
Reported by 6 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 129–147 billing samples across every hospital reporting.
Low
$21
Average
$163
Median
$127
High
$350
| # | 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 | $9 | $95 |
| 2 | Castle Medical Center | Kailua, HI | $350 | $350 | — | — | $50 | $350 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $314 | $313 | $109 | — | $72 | $730 |
| 4 | Sierra Vista Hospital Inc | Obispo, CA | $185 | $185 | — | — | $48 | $15.6k |
| 5 | White Memorial Medical Center | Angeles, CA | $70 | $70 | $18 | — | $13 | $202 |
| 6 | Bellevue Medical Center Llc | Bellevue, NE | $35 | $41 | $18 | — | $8 | $90 |
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