NDC 25021-0317-20
Reported by 3 hospitals in the network under the other methodology.
Low
$15
Average
$96
Median
$134
High
$140
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | $134 | $134 | $66 | — | $32 | $201 |
| 2 | Nebraska Medical Center | Omaha, NE | $116 | $140 | $60 | — | $0 | $299 |
| 3 | St. Lukes Hospital of Kansas City | City, KS | $13 | $15 | $5 | — | $5 | $208 |
Ask Claude or any MCP client for NDC 25021-0317-20 pricing at a specific hospital — see how to connect.