NDC 00904-6828-94
Reported by 37 hospitals in the network.
Filter by billing methodology
Based on 1,569–1,740 billing samples across every hospital reporting.
Low
$2
Average
$63
Median
$6
High
$2k
| # | 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 | $28 | $27 | $8 | 1,569–1,740 | $4 | $39 |
| 2 | MaineHealth | Norway, ME | $4 | $4 | $1 | — | $2 | $4 |
| 3 | Mary Hitchcock Memorial Hospital | Lebanon, NH | $11 | $11 | $4 | — | $2 | $17 |
| 4 | Cheshire Medical Center | Keene, NH | $13 | $11 | $4 | — | $2 | $18 |
| 5 | University of Colorado Hospital Authority | Aurora, CO | $12 | $13 | $3 | — | $7 | $20 |
| 6 | Penn State Health Milton S. Hershey Medical Center | Hershey, PA | $4 | $4 | $1 | — | $1 | $5 |
| 7 | St Joseph Regional Health Network | Reading, PA | $4 | $4 | $1 | — | $1 | $5 |
| 8 | Penn State Health Hampden Medical Center | Enola, PA | $4 | $4 | $1 | — | $2 | $5 |
| 9 | Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $4 | $4 | $1 | — | $2 | $5 |
| 10 | Penn State Health Lancaster Medical Center | Lancaster, PA | $4 | $4 | $1 | — | $2 | $5 |
Ask Claude or any MCP client for NDC 00904-6828-94 pricing at a specific hospital — see how to connect.