NDC 25021-0165-30
Reported by 20 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 594–1,593 billing samples across every hospital reporting.
Low
$6
Average
$30
Median
$29
High
$55
| # | 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 | $5 | $6 | $2 | 339–393 | $3 | $442 |
| 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.