NDC 12165-0100-01
Reported by 9 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$1
Average
$17
Median
$11
High
$43
| # | 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 | Glendale Adventist Medical Center | Glendale, CA | $11 | $11 | $4 | — | $3 | $28 |
| 2 | White Memorial Medical Center | Angeles, CA | $39 | $39 | $10 | — | $8 | $113 |
| 3 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $0 | $1 | $1 | — | $0 | $25 |
| 4 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana | LULING, LA | $38 | $43 | $12 | — | $38 | $73 |
| 5 | Ochsner Morgan City Llc | Morgan City, LA | $0 | $1 | $1 | — | $0 | $2 |
| 6 | Lafayette General Medical Center Inc | Lafayette, LA | $1 | $1 | $1 | — | $1 | $4 |
| 7 | Nebraska Medical Center | Omaha, NE | $23 | $27 | $12 | — | $6 | $58 |
| 8 | Bellevue Medical Center Llc | Bellevue, NE | $23 | $27 | $12 | — | $6 | $58 |
| 9 | Ochsner Medical Center � Hancock Llc | Bay St. Louis, MS | $1 | $1 | $0 | — | $1 | $2 |
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