NDC 00904-6552-61
Reported by 17 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Based on 1,904–1,994 billing samples across every hospital reporting.
Low
$1
Average
$28
Median
$18
High
$160
| # | 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 | $8 | $8 | $2 | 1,902–1,974 | $1 | $12 |
| 2 | UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $3 | $3 | $1 | 2–20 | $2 | $4 |
| 3 | MaineHealth | Farmington, ME | $1 | $1 | $0 | — | $0 | $1 |
| 4 | Mary Hitchcock Memorial Hospital | Lebanon, NH | $160 | $160 | $56 | — | $28 | $237 |
| 5 | Prisma Health Richland Hospital | COLUMBIA, SC | $21 | $18 | $8 | — | $5 | $27 |
| 6 | Prisma Health Baptist Parkridge Hospital | COLUMBIA, SC | $21 | $18 | $8 | — | $5 | $27 |
| 7 | Prisma Health Baptist Columbia Hospital | COLUMBIA, SC | $21 | $18 | $8 | — | $5 | $27 |
| 8 | Prisma Health Tuomey Hospital | SUMTER, SC | $19 | $18 | $7 | — | $5 | $27 |
| 9 | Prisma Health Blount Memorial Hospital | MARYVILLE, TN | $18 | $17 | $9 | — | $5 | $27 |
| 10 | Lucile Salter Packard Children's Hospital At Stanford | PALO ALTO, CA | $15 | $15 | $0 | — | $15 | $15 |
Ask Claude or any MCP client for NDC 00904-6552-61 pricing at a specific hospital — see how to connect.