NDC 25021-0109-10
Reported by 138 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 180–603 billing samples across every hospital reporting.
Low
$4
Average
$23
Median
$11
High
$393
| # | 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 | Dignity Health | San Bernardino, CA | $14 | $22 | $14 | 78–114 | $7 | $55 |
| 2 | Chi St. Luke's Health Baylor College Of Medicine Medical Center | Houston, TX | $34 | $33 | $17 | 10–100 | $4 | $82 |
| 3 | St. Luke's Community Health Services | Spring, TX | $33 | $33 | $17 | 24–69 | $5 | $82 |
| 4 | St. Luke's Community Health Services | The Woodlands, TX | $32 | $33 | $17 | 24–69 | $5 | $82 |
| 5 | St Lukes Community Development Corporation - Sugar Land | Sugar Land, TX | $34 | $33 | $17 | 5–50 | $5 | $82 |
| 6 | St. Lukes Hospital At The Vintage | Houston, TX | $34 | $33 | $17 | 5–50 | $5 | $82 |
| 7 | Saint Joseph Health System, Inc | Lexington, KY | $27 | $29 | $15 | 21 | $5 | $58 |
| 8 | Dignity Community Care | Sacramento, CA | $12 | $36 | $37 | 3–30 | $5 | $109 |
| 9 | Piedmont Newnan | Newnan, GA | $8 | $8 | $3 | 2–20 | $6 | $51 |
| 10 | Methodist Lebonheur Childrens Hosp | MEMPHIS, TN | $5 | $7 | $2 | 2–20 | $5 | $11 |
Ask Claude or any MCP client for NDC 25021-0109-10 pricing at a specific hospital — see how to connect.