NDC 25021065905
Reported by 4 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$19
Average
$28
Median
$24
High
$43
| # | 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 | Dukes Health System LLC | Peru, IN | $32 | $43 | $17 | — | $30 | $160 |
| 2 | Victoria of Texas LP | Victoria, TX | $14 | $19 | $10 | — | $14 | $217 |
| 3 | Victoria of Texas LP | Victoria, TX | $14 | $19 | $10 | — | $14 | $217 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $29 | $29 | — | — | $3 | $29 |
Ask Claude or any MCP client for NDC 25021065905 pricing at a specific hospital — see how to connect.