NDC 25021-0165-30
Reported by 25 hospitals in the network.
Filter by billing methodology
Based on 620–1,637 billing samples across every hospital reporting.
Low
$9
Average
$49
Median
$29
High
$448
| # | 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 | Saint Luke’s East Hospital | Summit, MO | $44 | $75 | $86 | 365–437 | $3 | $466 |
| 2 | St. Luke's Community Health Services | Spring, TX | $35 | $34 | $21 | 40–265 | $2 | $110 |
| 3 | St. Luke's Community Health Services | The Woodlands, TX | $35 | $34 | $21 | 40–265 | $2 | $110 |
| 4 | St Lukes Community Development Corporation - Sugar Land | Sugar Land, TX | $35 | $34 | $21 | 25–250 | $2 | $110 |
| 5 | St. Lukes Hospital At The Vintage | Houston, TX | $35 | $34 | $21 | 25–250 | $2 | $110 |
| 6 | Mercy Medical Center | Williston, ND | $30 | $28 | $10 | 53 | $1 | $36 |
| 7 | Chi St. Luke's Health Baylor College Of Medicine Medical Center | Houston, TX | $35 | $35 | $21 | 51 | $2 | $110 |
| 8 | Mercy Hospital Of Devils Lake | Devils Lake, ND | $28 | $26 | $10 | 16 | $1 | $37 |
| 9 | St. Francis Medical Center | Breckenridge, MN | $26 | $25 | $10 | 1–10 | $1 | $37 |
| 10 | Lisbon Area Health Services | Lisbon, ND | $32 | $29 | $10 | 1–10 | $1 | $37 |
Ask Claude or any MCP client for NDC 25021-0165-30 pricing at a specific hospital — see how to connect.