NDC 173057000
Reported by 6 hospitals in the network under the other methodology.
Based on 405–423 billing samples across every hospital reporting.
Low
$3
Average
$29
Median
$21
High
$84
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 6 hospitals; the 90th percentile is 15.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Bexar County Hospital District | San Antonio, TX | $32 | $32 | $17 | 404–413 | $15 | $552 |
| 2 | Triad of Alabama LLC | Dothan, AL | $6 | $6 | — | 1–10 | $6 | $6 |
| 3 | St. Joseph Health System, LLC | Wayne, IN | $11 | $11 | $7 | — | $1 | $18 |
| 4 | Affinity Hospital LLC | Birmingham, AL | $38 | $38 | $10 | — | $7 | $48 |
| 5 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $3 | $3 | — | — | $1 | $4 |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $106 | $84 | $54 | — | $0 | $132 |
Ask Claude or any MCP client for NDC 173057000 pricing at a specific hospital — see how to connect.