NDC 409120901
Reported by 26 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 245–344 billing samples across every hospital reporting.
Low
$0
Average
$76
Median
$15
High
$730
| # | 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 | $5 | $8 | $9 | 238–274 | $1 | $89 |
| 2 | Sanford Fargo Medical Center | Fargo, ND | $290 | $290 | — | 1–10 | $6 | $290 |
| 3 | Sanford USD Medical Center | Sioux Falls, SD | $176 | $176 | — | 1–10 | $21 | $176 |
| 4 | Sanford Luverne Medical Center | Luverne, MN | $9 | $9 | — | 1–10 | $9 | $72 |
| 5 | Pekin Memorial Hospital | Pekin, IL | $39 | $39 | — | 1–10 | $14 | $39 |
| 6 | Methodist Medical Center of Illinois | Peoria, IL | $52 | $52 | — | 1–10 | $11 | $52 |
| 7 | Proctor Community Hospital | Peoria, IL | $18 | $18 | — | 1–10 | $14 | $36 |
| 8 | Carle BroMenn Medical Center | Normal, IL | $29 | $29 | — | 1–10 | $5 | $41 |
| 9 | Bluffton Health System LLC | Bluffton, IN | $15 | $15 | — | — | $14 | $51 |
| 10 | Dukes Health System LLC | Peru, IN | $51 | $50 | $9 | — | $30 | $160 |
Ask Claude or any MCP client for NDC 409120901 pricing at a specific hospital — see how to connect.