NDC 00904-7211-04
Reported by 27 hospitals in the network.
Filter by billing methodology
Based on 1,569–1,740 billing samples across every hospital reporting.
Low
$1
Average
$397
Median
$4
High
$10.4k
| # | 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 | $10 | $10 | $3 | 1,569–1,740 | $2 | $30 |
| 2 | Northwestern Memorial Hospital | Chicago, IL | $4 | $4 | $2 | — | $1 | $7 |
| 3 | Palos Community Hospital | Palos Heights, IL | $4 | $4 | $2 | — | $1 | $6 |
| 4 | Vanderbilt Wilson County Hospital | Lebanon, TN | $1 | $1 | $1 | — | $0 | $3 |
| 5 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1 | $1 | $1 | — | $0 | $3 |
| 6 | Vanderbilt University Medical Center | Nashville, TN | $1 | $1 | $1 | — | $0 | $3 |
| 7 | Vanderbilt Bedford Hospital | Shelbyville, TN | $1 | $1 | $1 | — | $0 | $3 |
| 8 | MaineHealth | Farmington, ME | $3 | $3 | $1 | — | $1 | $3 |
| 9 | Mary Hitchcock Memorial Hospital | Lebanon, NH | $85 | $85 | $30 | — | $15 | $126 |
| 10 | Cheshire Medical Center | Keene, NH | $99 | $87 | $33 | — | $17 | $139 |
Ask Claude or any MCP client for NDC 00904-7211-04 pricing at a specific hospital — see how to connect.