NDC 00641-6135-01
Reported by 14 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 728–1,268 billing samples across every hospital reporting.
Low
$3
Average
$8
Median
$4
High
$40
| # | 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 North Hospital | Smithville, MO | $4 | $4 | $1 | 270–486 | $2 | $371 |
| 2 | Saint Luke’s North Hospital | City, KS | $4 | $4 | $1 | 270–486 | $2 | $371 |
| 3 | Saint Luke’s South Hospital, Inc | Overland Park, KS | $4 | $4 | $1 | 187–286 | $2 | $371 |
| 4 | Piedmont Columbus Regional - Midtown | Columbus, GA | $4 | $4 | $2 | 1–10 | $2 | $56 |
| 5 | St Joseph Mercy Oakland | Pontiac, MI | $5 | $5 | $1 | — | $2 | $16 |
| 6 | Bellevue Medical Center Llc | Bellevue, NE | $51 | $40 | $27 | — | $3 | $109 |
| 7 | Prisma Health Greenville Memorial Hospital | GREENVILLE, SC | $4 | $4 | $0 | — | $4 | $56 |
| 8 | Prisma Health Baptist Easley Hospital | EASLEY, SC | $4 | $4 | $0 | — | $4 | $56 |
| 9 | Prisma Health Tuomey Hospital | SUMTER, SC | $3 | $4 | $0 | — | $3 | $56 |
| 10 | DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DURHAM REGIONAL HOSPITAL | Durham, NC | $9 | $9 | — | — | $2 | $27 |
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