NDC 00409-7650-05
Reported by 32 hospitals in the network.
Filter by billing methodology
Based on 1,842–1,923 billing samples across every hospital reporting.
Low
$12
Average
$58
Median
$36
High
$215
| # | 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 | $218 | $215 | $198 | 750 | $5 | $658 |
| 2 | Saint Francis Hospital and Medical Center | Hartford, CT | $31 | $21 | $12 | 500 | $5 | $38 |
| 3 | Saint Luke’s North Hospital | Smithville, MO | $206 | $211 | $189 | 250 | $5 | $658 |
| 4 | Saint Luke’s North Hospital | City, KS | $206 | $211 | $189 | 250 | $5 | $658 |
| 5 | CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $35 | $36 | $30 | 72–90 | $0 | $79 |
| 6 | Mercy Hospital Of Devils Lake | Devils Lake, ND | $36 | $34 | $13 | 13 | $0 | $47 |
| 7 | Vanderbilt Wilson County Hospital | Lebanon, TN | $9 | $30 | $44 | 2–20 | $5 | $147 |
| 8 | UCHealth Estes Valley Medical Center | Estes Park, CO | $66 | $56 | $14 | 2–20 | $34 | $67 |
| 9 | Lisbon Area Health Services | Lisbon, ND | $41 | $37 | $13 | 1–10 | $0 | $48 |
| 10 | Oakes Community Hospital | Oakes, ND | $44 | $38 | $13 | 1–10 | $0 | $48 |
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