NDC 00904589430
Reported by 12 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$1
Average
$18
Median
$2
High
$99
| # | 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 | Fairview Health Services | Minneapolis, MN | $2 | $2 | $1 | — | $1 | $45 |
| 2 | Fairview Health Services | Edina, MN | $2 | $2 | $1 | — | $1 | $45 |
| 3 | Fairview Health Services | Burnsville, MN | $2 | $2 | $1 | — | $1 | $45 |
| 4 | HealthEast St John's Hospital | Maplewood, MN | $2 | $2 | $1 | — | $1 | $45 |
| 5 | Fairview Bethesda Hospital | St. Paul, MN | $1 | $1 | $0 | — | $1 | $45 |
| 6 | Fairview Health Services | Princeton, MN | $2 | $2 | $1 | — | $1 | $49 |
| 7 | Fairview Health Services | Wyoming, MN | $2 | $2 | $1 | — | $1 | $49 |
| 8 | HealthEast Woodwinds Hospital | Woodbury, MN | $2 | $2 | $1 | — | $1 | $45 |
| 9 | Fairview Maple Grove Surgery Center | Maple Grove, MN | $3 | $3 | — | — | $3 | $45 |
| 10 | Allina Health Systems | River Falls, WI | $4 | $4 | $0 | — | $2 | $9 |
Ask Claude or any MCP client for NDC 00904589430 pricing at a specific hospital — see how to connect.