NDC 39822-4200-02
Reported by 4 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 130–157 billing samples across every hospital reporting.
Low
$3
Average
$102
Median
$53
High
$300
| # | 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 | Childrens Hospital Colorado | Aurora, CO | $25 | $21 | $9 | 129–147 | $4 | $36 |
| 2 | Inspira Medical Center Vineland | Vineland, NJ | $3 | $3 | — | 1–10 | $1 | $3 |
| 3 | Castle Medical Center | Kailua, HI | $85 | $85 | — | — | $12 | $85 |
| 4 | Glendale Adventist Medical Center | Glendale, CA | $301 | $300 | $105 | — | $69 | $701 |
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