NDC 00641604401
Reported by 14 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 62–620 billing samples across every hospital reporting.
Low
$0
Average
$13
Median
$13
High
$31
| # | 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 | Fairview Health Services | Minneapolis, MN | $21 | $21 | $20 | 12–120 | $0 | $45 |
| 2 | Fairview Health Services | Edina, MN | $1 | $1 | $0 | 12–120 | $0 | $45 |
| 3 | Fairview Health Services | Burnsville, MN | $1 | $1 | — | 6–60 | $0 | $45 |
| 4 | HealthEast St John's Hospital | Maplewood, MN | $1 | $1 | — | 6–60 | $0 | $45 |
| 5 | Fairview Health Services | Princeton, MN | $0 | $0 | — | 6–60 | $0 | $49 |
| 6 | HealthEast Woodwinds Hospital | Woodbury, MN | $1 | $1 | — | 6–60 | $0 | $45 |
| 7 | St Josephs Community Hospital of West Bend Inc | West Bend, WI | $16 | $24 | $25 | 4–40 | $1 | $61 |
| 8 | The Charlotte Mecklenburg Hospital Authority | Concord, NC | $26 | $26 | — | 2–20 | $3 | $26 |
| 9 | The Charlotte Mecklenburg Hospital Authority | Monroe, NC | $15 | $15 | — | 2–20 | $3 | $25 |
| 10 | Community Memorial Hospital of Menomonee Falls Inc | Menomonee Falls, WI | $31 | $31 | $30 | 2–20 | $1 | $61 |
Ask Claude or any MCP client for NDC 00641604401 pricing at a specific hospital — see how to connect.