NDC 12496120803
Reported by 11 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 163–568 billing samples across every hospital reporting.
Low
$6
Average
$15
Median
$8
High
$42
| # | 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 | $7 | $7 | $2 | 97–160 | $7 | $47 |
| 2 | Fairview Health Services | Burnsville, MN | $8 | $10 | $3 | 12–120 | $7 | $47 |
| 3 | HealthEast St John's Hospital | Maplewood, MN | $7 | $8 | $2 | 34–88 | $6 | $47 |
| 4 | Fairview Health Services | Edina, MN | $7 | $6 | $2 | 10–100 | $3 | $47 |
| 5 | HealthEast Woodwinds Hospital | Woodbury, MN | $7 | $6 | $2 | 6–60 | $3 | $47 |
| 6 | Fairview Health Services | Wyoming, MN | $8 | $8 | $5 | 4–40 | $3 | $51 |
| 7 | St. Joseph Health System, LLC | Wayne, IN | $41 | $41 | — | — | $10 | $41 |
| 8 | Northwest Sahurita Hospital LLC | Tucson, AZ | $6 | $6 | $0 | — | $3 | $19 |
| 9 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $6 | $6 | $0 | — | $3 | $19 |
| 10 | Gadsden Regional Medical Center LLC | Gadsden, AL | $42 | $42 | — | — | $42 | $42 |
Ask Claude or any MCP client for NDC 12496120803 pricing at a specific hospital — see how to connect.