NDC 264775010
Reported by 24 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 437–509 billing samples across every hospital reporting.
Low
$3
Average
$162
Median
$36
High
$1.7k
| # | 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 | Bexar County Hospital District | San Antonio, TX | $13 | $14 | $4 | 331–385 | $11 | $200 |
| 2 | USC Arcadia Hospital | Arcadia, CA | $75 | $75 | $11 | 76 | $51 | $9.4k |
| 3 | Carle BroMenn Medical Center | Normal, IL | $58 | $58 | — | 28 | $2 | $80 |
| 4 | Carle Eureka Hospital | Eureka, IL | $44 | $44 | $19 | 2–20 | $2 | $90 |
| 5 | Wesley Health System LLC | Hattiesburg, MS | $162 | $115 | $83 | — | $2 | $217 |
| 6 | Vicksburg Healthcare LLC | Vicksburg, MS | $158 | $329 | $278 | — | $3 | $791 |
| 7 | Northwest Sahurita Hospital LLC | Tucson, AZ | $2 | $4 | $2 | — | $2 | $21 |
| 8 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $2 | $4 | $2 | — | $2 | $21 |
| 9 | Northwest Hospital LLC | Tucson, AZ | $3 | $5 | $3 | — | $2 | $21 |
| 10 | Metro Knoxville HMA LLC | Knoxville, TN | $36 | $36 | — | — | $16 | $59 |
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