NDC 17156002630
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 108–396 billing samples across every hospital reporting.
Low
$118
Average
$419
Median
$174
High
$2.4k
| # | 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 | $120 | $130 | $14 | 17–62 | $40 | $290 |
| 2 | Fairview Health Services | Edina, MN | $120 | $118 | $31 | 7–70 | $38 | $290 |
| 3 | Capital Health System Inc | Pennington, NJ | $174 | $174 | — | 36 | $116 | $2.6k |
| 4 | St Josephs Community Hospital of West Bend Inc | West Bend, WI | $332 | $333 | $5 | 6–60 | $145 | $460 |
| 5 | Fairview Health Services | Wyoming, MN | $150 | $140 | $14 | 17–35 | $53 | $290 |
| 6 | Community Memorial Hospital of Menomonee Falls Inc | Menomonee Falls, WI | $339 | $330 | $112 | 4–40 | $145 | $479 |
| 7 | Holy Family Memorial Inc | Manitowoc, WI | $335 | $335 | — | 4–40 | $160 | $426 |
| 8 | Fairview Health Services | Princeton, MN | $120 | $120 | $0 | 14–23 | $53 | $290 |
| 9 | Advocate Good Shepherd Hospital | Barrington, IL | $2.4k | $2.4k | — | 1–10 | $174 | $2.4k |
| 10 | Fairview Health Services | Burnsville, MN | $120 | $120 | — | 1–10 | $38 | $290 |
Ask Claude or any MCP client for NDC 17156002630 pricing at a specific hospital — see how to connect.