NDC 00904-5306-61
Reported by 4 hospitals in the network under the other methodology.
Based on 2–20 billing samples across every hospital reporting.
Low
$2
Average
$36
Median
$10
High
$124
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 1–10 | $0 | $7 |
| 2 | Denver Health and Hospital Authority | Denver, CO | $2 | $2 | — | 1–10 | $0 | $2 |
| 3 | Phoenix Children's Hospital | Phoenix, AZ | $124 | $124 | $5 | — | $119 | $128 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital | Vernon, WA | $13 | $13 | — | — | $0 | $13 |
Ask Claude or any MCP client for NDC 00904-5306-61 pricing at a specific hospital — see how to connect.