NDC 409120965
Reported by 17 hospitals in the network under the other methodology.
Based on 4–40 billing samples across every hospital reporting.
Low
$2
Average
$86
Median
$18
High
$730
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 17 hospitals; the 90th percentile is 29.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Pekin Memorial Hospital | Pekin, IL | $39 | $39 | — | 1–10 | $14 | $39 |
| 2 | Methodist Medical Center of Illinois | Peoria, IL | $52 | $52 | — | 1–10 | $11 | $52 |
| 3 | Proctor Community Hospital | Peoria, IL | $18 | $18 | — | 1–10 | $14 | $36 |
| 4 | Carle BroMenn Medical Center | Normal, IL | $29 | $29 | — | 1–10 | $5 | $41 |
| 5 | Bluffton Health System LLC | Bluffton, IN | $15 | $15 | — | — | $14 | $51 |
| 6 | Dukes Health System LLC | Peru, IN | $51 | $50 | $9 | — | $30 | $160 |
| 7 | St. Joseph Health System, LLC | Wayne, IN | $178 | $178 | — | — | $43 | $178 |
| 8 | Affinity Hospital LLC | Birmingham, AL | $2 | $2 | $1 | — | $0 | $3 |
| 9 | Gadsden Regional Medical Center LLC | Gadsden, AL | $2 | $2 | — | — | $2 | $2 |
| 10 | HMA Santa Rosa Medical Center LLC | Milton, FL | $193 | $730 | $1.4k | — | $38 | $4.5k |
Ask Claude or any MCP client for NDC 409120965 pricing at a specific hospital — see how to connect.