NDC 31722-0204-10
Reported by 36 hospitals in the network under the fee schedule methodology.
Based on 75–246 billing samples across every hospital reporting.
Low
$0
Average
$8
Median
$9
High
$29
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 36 hospitals; the 90th percentile is 4.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Saint Luke’s North Hospital | Smithville, MO | $9 | $9 | $5 | 37–118 | $2 | $130 |
| 2 | Saint Luke’s North Hospital | City, KS | $9 | $9 | $5 | 37–118 | $2 | $130 |
| 3 | Methodist Hospitals of Dallas | Dallas, TX | $9 | $13 | $6 | 1–10 | $7 | $22 |
| 4 | Tri-City Medical Center | Oceanside, CA | $3 | $3 | — | — | $3 | $21 |
| 5 | Indiana University Health West Hospital Inc. | Avon, IN | $12 | $10 | $4 | — | $3 | $87 |
| 6 | Indiana University Health North Hospital Inc. | Carmel, IN | $12 | $10 | $4 | — | $3 | $87 |
| 7 | Indiana University Health Inc. | Indianapolis, IN | $12 | $10 | $4 | — | $3 | $87 |
| 8 | Indiana University Health Paoli Inc. | Paoli, IN | $11 | $9 | $4 | — | $3 | $92 |
| 9 | Indiana University Health Bloomington Inc. | Bloomington, IN | $12 | $10 | $4 | — | $2 | $92 |
| 10 | Indiana University Health White Memorial Hospital Inc. | Monticello, IN | $11 | $9 | $4 | — | $2 | $89 |
Ask Claude or any MCP client for NDC 31722-0204-10 pricing at a specific hospital — see how to connect.