NDC 25021-0143-30
Reported by 81 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 180–891 billing samples across every hospital reporting.
Low
$2
Average
$13
Median
$5
High
$63
| # | 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 | St. Luke's Community Health Services | Spring, TX | $37 | $37 | $21 | 16–160 | $2 | $116 |
| 2 | St Lukes Community Development Corporation - Sugar Land | Sugar Land, TX | $38 | $37 | $22 | 16–160 | $2 | $116 |
| 3 | St. Lukes Hospital At The Vintage | Houston, TX | $38 | $37 | $22 | 16–160 | $2 | $116 |
| 4 | St. Luke's Community Health Services | The Woodlands, TX | $37 | $36 | $22 | 16–160 | $2 | $116 |
| 5 | Saint Luke’s North Hospital | Smithville, MO | $5 | $5 | $2 | 17–53 | $3 | $320 |
| 6 | Saint Luke’s North Hospital | City, KS | $5 | $5 | $2 | 17–53 | $3 | $320 |
| 7 | Saint Luke’s East Hospital | Summit, MO | $5 | $5 | $2 | 22–40 | $3 | $320 |
| 8 | Chi St. Luke's Health Baylor College Of Medicine Medical Center | Houston, TX | $38 | $37 | $21 | 26 | $3 | $116 |
| 9 | Saint Joseph Health System, Inc | Lexington, KY | $34 | $36 | $20 | 16 | $2 | $74 |
| 10 | Flaget Healthcare, Inc | Bardstown, KY | $61 | $44 | $26 | 13 | $2 | $74 |
Ask Claude or any MCP client for NDC 25021-0143-30 pricing at a specific hospital — see how to connect.