NDC 25021-0109-10
Reported by 25 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$7
Average
$46
Median
$31
High
$311
| # | 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 | Mid Columbia Medical Center | Dalles, OR | $311 | $311 | $154 | — | $73 | $465 |
| 2 | Ochsner Clinic Foundation | Orleans, LA | $10 | $12 | $8 | — | $5 | $29 |
| 3 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $8 | $9 | $5 | — | $4 | $25 |
| 4 | Brfhh Monroe, Llc | Monroe, LA | $10 | $9 | $5 | — | $3 | $16 |
| 5 | Southern Regional Medical Corporation | Houma, LA | $5 | $7 | $3 | — | $5 | $15 |
| 6 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc | Shreveport, LA | $9 | $9 | $5 | — | $4 | $15 |
| 7 | Lafayette General Medical Center Inc | Lafayette, LA | $9 | $15 | $10 | — | $5 | $44 |
| 8 | Ochsner American Legion Hospital, LLC | Jennings, LA | $24 | $26 | $4 | — | $5 | $44 |
| 9 | Hospital Service District Of The Parish Of St. Bernard, State Of Louisiana | Chalmette, LA | $10 | $10 | — | — | $5 | $24 |
| 10 | Rush Medical Foundation | Meridian, MS | $22 | $23 | $5 | — | $6 | $31 |
Ask Claude or any MCP client for NDC 25021-0109-10 pricing at a specific hospital — see how to connect.