NDC 10122090112
Reported by 2 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$9
Average
$111
Median
$111
High
$214
| # | 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 | Dukes Health System LLC | Peru, IN | $159 | $214 | $85 | — | $147 | $794 |
| 2 | Longview Medical Center LP | Longview, TX | $6 | $9 | $6 | — | $6 | $138 |
Ask Claude or any MCP client for NDC 10122090112 pricing at a specific hospital — see how to connect.