NDC 39822303001
Reported by 29 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$56
Average
$101
Median
$87
High
$188
| # | 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 | Central Iowa Hospital Corporation | Des Moines, IA | $80 | $80 | — | — | $22 | $80 |
| 2 | Central Iowa Hospital Corporation | Des Moines, IA | $80 | $80 | — | — | $22 | $80 |
| 3 | Sanford Fargo Medical Center | Fargo, ND | $76 | $68 | $11 | — | $52 | $183 |
| 4 | Sanford USD Medical Center | Sioux Falls, SD | $76 | $66 | $12 | — | $40 | $108 |
| 5 | UPMC Lititz | Lititz, PA | $71 | $74 | $5 | — | $12 | $86 |
| 6 | UPMC Memorial | York, PA | $77 | $84 | $20 | — | $15 | $142 |
| 7 | UPMC Hanover | Hanover, PA | $71 | $74 | $5 | — | $17 | $86 |
| 8 | UPMC Carlisle | Carlisle, PA | $71 | $74 | $5 | — | $12 | $86 |
| 9 | UPMC Pinnacle Hospitals | Harrisburg, PA | $92 | $137 | $79 | — | $18 | $290 |
| 10 | UPMC Somerset | Somerset, PA | $70 | $130 | $101 | — | $30 | $339 |
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