NDC 338004904
Reported by 39 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 222–366 billing samples across every hospital reporting.
Low
$2
Average
$110
Median
$57
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 | Bexar County Hospital District | San Antonio, TX | $13 | $19 | $16 | 185–320 | $5 | $188 |
| 2 | Carle BroMenn Medical Center | Normal, IL | $58 | $58 | — | 36 | $3 | $80 |
| 3 | Carle Eureka Hospital | Eureka, IL | $58 | $58 | — | 1–10 | $3 | $90 |
| 4 | Wesley Health System LLC | Hattiesburg, MS | $162 | $115 | $83 | — | $2 | $217 |
| 5 | Naples HMA LLC | Naples, FL | $174 | $159 | $40 | — | $31 | $174 |
| 6 | Naples HMA LLC | Naples, FL | $174 | $153 | $41 | — | $31 | $174 |
| 7 | Vicksburg Healthcare LLC | Vicksburg, MS | $158 | $329 | $278 | — | $3 | $791 |
| 8 | Naples HMA LLC | Naples, FL | $174 | $159 | $40 | — | $31 | $174 |
| 9 | Northwest Sahurita Hospital LLC | Tucson, AZ | $2 | $3 | $2 | — | $2 | $21 |
| 10 | Victoria of Texas LP | Victoria, TX | $42 | $69 | $62 | — | $15 | $234 |
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