NDC 25021-0403-01
Reported by 22 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 1,112–1,724 billing samples across every hospital reporting.
Low
$0
Average
$207
Median
$8
High
$4.3k
| # | 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 | Chi St. Luke's Health Baylor College Of Medicine Medical Center | Houston, TX | $30 | $29 | $17 | 397–532 | $0 | $72 |
| 2 | Dignity Community Care | Northridge, CA | $6 | $8 | $8 | 420–483 | $0 | $26 |
| 3 | St. Luke's Community Health Services | Spring, TX | $30 | $28 | $17 | 88–178 | $0 | $72 |
| 4 | St. Luke's Community Health Services | The Woodlands, TX | $29 | $28 | $17 | 88–178 | $0 | $72 |
| 5 | Dignity Health | Long Beach, CA | $6 | $8 | $7 | 47–101 | $0 | $26 |
| 6 | Community Hospital Of San Bernardino | San Bernardino, CA | $7 | $10 | $8 | 56–92 | $0 | $26 |
| 7 | St Lukes Community Development Corporation - Sugar Land | Sugar Land, TX | $30 | $29 | $17 | 5–50 | $0 | $72 |
| 8 | St. Lukes Hospital At The Vintage | Houston, TX | $30 | $29 | $17 | 5–50 | $0 | $72 |
| 9 | St Luke's Lakeside Hospital, Llc | The Woodlands, TX | $29 | $28 | $17 | 5–50 | $0 | $72 |
| 10 | Piedmont Atlanta | Atlanta, GA | $2 | $3 | $1 | 1–10 | $2 | $19 |
Ask Claude or any MCP client for NDC 25021-0403-01 pricing at a specific hospital — see how to connect.