NDC 16714050201
Reported by 7 hospitals in the network.
Filter by billing methodology
Based on 3,292 billing samples across every hospital reporting.
Low
$141
Average
$308
Median
$258
High
$470
| # | 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 | North Carolina Baptist Hospital | Bermuda Run, NC | $159 | $210 | $107 | 3,292 | $90 | $430 |
| 2 | Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital | WHEAT RIDGE, CO | $470 | $462 | $192 | — | $152 | $821 |
| 3 | Good Samaritan Medical Center, Llc Dba | LAFAYETTE, CO | $470 | $470 | $194 | — | $152 | $821 |
| 4 | OU Health - University of Oklahoma Medical Center | Oklahoma City, OK | $448 | $448 | — | — | $448 | $448 |
| 5 | Children's National Hospital | Washington, DC | $156 | $169 | $35 | — | $127 | $245 |
| 6 | Children's National Rehabilitation and Specialized Care | Washington, DC | $262 | $258 | $48 | — | $177 | $336 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $138 | $141 | $62 | — | $24 | $213 |
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