NDC 407141489
Reported by 10 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 693–774 billing samples across every hospital reporting.
Low
$8
Average
$130
Median
$137
High
$183
| # | 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 | $99 | $183 | $119 | 688–724 | $9 | $769 |
| 2 | Sanford Luverne Medical Center | Luverne, MN | $183 | $183 | — | 2–20 | $61 | $237 |
| 3 | Sanford Fargo Medical Center | Fargo, ND | $8 | $8 | — | 1–10 | $1 | $36 |
| 4 | Sanford USD Medical Center | Sioux Falls, SD | $100 | $100 | — | 1–10 | $1 | $101 |
| 5 | Midwestern Regional Medical Center, Inc. | Zion, IL | $140 | $140 | — | 1–10 | — | — |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $182 | $131 | $65 | — | $0 | $182 |
| 7 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $182 | $150 | $54 | — | $0 | $182 |
| 8 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $182 | $149 | $55 | — | $0 | $182 |
| 9 | The Chester County Hospital | West Chester, PA | $182 | $134 | $60 | — | $0 | $182 |
| 10 | Penn Medicine Princeton Medical Center | Plainsboro, NJ | $182 | $120 | $69 | — | $0 | $182 |
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