NDC 409189001
Reported by 40 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 392–455 billing samples across every hospital reporting.
Low
$1
Average
$43
Median
$13
High
$265
| # | 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 | $4 | $6 | $4 | 340–367 | $2 | $44 |
| 2 | Sanford Fargo Medical Center | Fargo, ND | $5 | $5 | — | 32 | $1 | $19 |
| 3 | Sanford Medical Center Bismarck | Bismarck, ND | $5 | $5 | — | 16 | $5 | $17 |
| 4 | Sanford Thief River Falls Medical Center | Thief River Falls, MN | $17 | $17 | — | 1–10 | $15 | $42 |
| 5 | USC Arcadia Hospital | Arcadia, CA | $121 | $121 | $17 | 1–10 | $26 | $239 |
| 6 | Carle BroMenn Medical Center | Normal, IL | $29 | $29 | — | 1–10 | $4 | $279 |
| 7 | Carle Eureka Hospital | Eureka, IL | $29 | $29 | — | 1–10 | $4 | $312 |
| 8 | St. Joseph Health System, LLC | Wayne, IN | $178 | $178 | — | — | $43 | $178 |
| 9 | Natchez Hospital Company LLC | Natchez, MS | $69 | $74 | $67 | — | $2 | $173 |
| 10 | Wesley Health System LLC | Hattiesburg, MS | $42 | $35 | $20 | — | $2 | $56 |
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