NDC 00904-6290-06
Reported by 11 hospitals in the network.
Filter by billing methodology
Based on 2,298–2,469 billing samples across every hospital reporting.
Low
$1
Average
$11
Median
$15
High
$18
| # | 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 | $15 | $15 | $4 | 1,569–1,740 | $2 | $30 |
| 2 | Winneshiek Medical Center | Decorah, IA | $6 | $5 | $1 | 729 | $4 | $6 |
| 3 | Portland Adventist Medical Center | Portland, OR | $9 | $8 | $3 | — | $2 | $14 |
| 4 | UCHealth Estes Valley Medical Center | Estes Park, CO | $1 | $1 | $0 | — | $1 | $1 |
| 5 | Yampa Valley Medical Center | Steamboat Springs, CO | $3 | $3 | $0 | — | $2 | $3 |
| 6 | Prisma Health Richland Hospital | COLUMBIA, SC | $21 | $18 | $8 | — | $5 | $27 |
| 7 | Prisma Health Baptist Parkridge Hospital | COLUMBIA, SC | $21 | $18 | $8 | — | $5 | $27 |
| 8 | Prisma Health Baptist Columbia Hospital | COLUMBIA, SC | $21 | $18 | $8 | — | $5 | $27 |
| 9 | Prisma Health Tuomey Hospital | SUMTER, SC | $19 | $18 | $7 | — | $5 | $27 |
| 10 | Prisma Health Blount Memorial Hospital | MARYVILLE, TN | $18 | $17 | $9 | — | $5 | $27 |
Ask Claude or any MCP client for NDC 00904-6290-06 pricing at a specific hospital — see how to connect.