NDC 264180036
Reported by 13 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 37–46 billing samples across every hospital reporting.
Low
$5
Average
$168
Median
$13
High
$1.1k
| # | 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 | Carle BroMenn Medical Center | Normal, IL | $58 | $58 | — | 36 | $3 | $80 |
| 2 | Carle Eureka Hospital | Eureka, IL | $58 | $58 | — | 1–10 | $3 | $90 |
| 3 | Triad of Alabama LLC | Dothan, AL | $545 | $545 | — | — | $545 | $545 |
| 4 | HMA Santa Rosa Medical Center LLC | Milton, FL | $297 | $1.1k | $2.2k | — | $58 | $6.9k |
| 5 | Laredo Texas Hospital Company LP | Laredo, TX | $13 | $13 | $0 | — | $7 | $130 |
| 6 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $320 | $320 | — | — | $99 | $443 |
| 7 | La Porte Hospital Company LLC | La Porte, IN | $24 | $24 | — | — | $24 | $83 |
| 8 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $9 | $7 | $4 | — | $1 | $11 |
| 9 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $10 | $8 | $3 | — | $1 | $10 |
| 10 | Lancaster General Health | Lancaster, PA | $5 | $5 | $3 | — | $1 | $13.5k |
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