NDC 00904-6557-61
Reported by 56 hospitals in the network.
Filter by billing methodology
Based on 2,300–2,489 billing samples across every hospital reporting.
Low
$0
Average
$16
Median
$3
High
$169
| # | 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 | Mclaren Greater Lansing | LANSING, MI | $23 | $23 | — | 1–10 | $23 | $23 |
| 4 | Mclaren Oakland | PONTIAC, MI | $3 | $3 | — | 1–10 | $3 | $3 |
| 5 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $14 | $14 | $6 | — | $4 | $25 |
| 6 | Northwestern Memorial Hospital | Chicago, IL | $7 | $10 | $8 | — | $1 | $25 |
| 7 | Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $15 | $16 | $5 | — | $4 | $23 |
| 8 | Northwestern Medicine Valley West Hospital | Sandwich, IL | $14 | $13 | $5 | — | $4 | $21 |
| 9 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $1 | $1 | $1 | — | $1 | $3 |
| 10 | Northwestern Medicine Delnor Hospital | Geneva, IL | $6 | $6 | $2 | — | $2 | $10 |
Ask Claude or any MCP client for NDC 00904-6557-61 pricing at a specific hospital — see how to connect.