NDC 25021-0403-01
Reported by 12 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$2
Average
$14
Median
$7
High
$57
| # | 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 | Northwestern Memorial Hospital | Chicago, IL | $2 | $2 | $0 | — | $2 | $2 |
| 2 | Palos Community Hospital | Palos Heights, IL | $5 | $4 | $2 | — | $1 | $7 |
| 3 | Saint Alphonsus Medical Center - Nampa | Nampa, ID | $8 | $8 | $2 | — | $2 | $10 |
| 4 | St Joseph Mercy Ann Arbor | Ypsilanti, MI | $5 | $6 | $3 | — | $3 | $12 |
| 5 | St Mary Mercy Livonia | Livonia, MI | $5 | $6 | $2 | — | $2 | $12 |
| 6 | St. Francis Hospital Inc | Wilmington, DE | $2 | $3 | $2 | — | $2 | $7 |
| 7 | Piedmont Atlanta | Atlanta, GA | $17 | $17 | $1 | — | $2 | $19 |
| 8 | Piedmont Macon North | Macon, GA | $16 | $15 | $5 | — | $2 | $20 |
| 9 | Prisma Health Oconee Memorial Hospital | SENECA, SC | $27 | $24 | $13 | — | $3 | $507 |
| 10 | The University of Texas Medical Branch | Galveston, TX | $2 | $4 | $3 | — | $2 | $10 |
Ask Claude or any MCP client for NDC 25021-0403-01 pricing at a specific hospital — see how to connect.