NDC 09999-8850-03
Reported by 4 hospitals in the network under the other methodology.
Based on 208–397 billing samples across every hospital reporting.
Low
$122
Average
$302
Median
$291
High
$503
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Froedtert Memorial Lutheran Hospital Inc | Milwaukee, WI | $55 | $140 | $168 | 179–287 | $55 | $16.0k |
| 2 | St Josephs Community Hospital of West Bend Inc | West Bend, WI | $143 | $122 | $66 | 5–50 | $44 | $17.8k |
| 3 | Community Memorial Hospital of Menomonee Falls Inc | Menomonee Falls, WI | $503 | $503 | $359 | 21–30 | $87 | $16.8k |
| 4 | Holy Family Memorial Inc | Manitowoc, WI | $183 | $441 | $366 | 3–30 | $94 | $16.5k |
Ask Claude or any MCP client for NDC 09999-8850-03 pricing at a specific hospital — see how to connect.