NDC 409189103
Reported by 17 hospitals in the network under the other methodology.
Based on 377–449 billing samples across every hospital reporting.
Low
$5
Average
$12
Median
$6
High
$29
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 5.0× 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 | Bexar County Hospital District | San Antonio, TX | $4 | $6 | $4 | 340–367 | $2 | $42 |
| 2 | Sanford Fargo Medical Center | Fargo, ND | $5 | $5 | — | 32 | $1 | $19 |
| 3 | Sanford Sheldon Medical Center | Sheldon, IA | $5 | $5 | $0 | 2–20 | $5 | $68 |
| 4 | Sanford Thief River Falls Medical Center | Thief River Falls, MN | $17 | $17 | — | 1–10 | $15 | $42 |
| 5 | Carle BroMenn Medical Center | Normal, IL | $29 | $29 | — | 1–10 | $4 | $126 |
| 6 | Carle Eureka Hospital | Eureka, IL | $29 | $29 | — | 1–10 | $4 | $141 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $6 | $5 | $3 | — | $1 | $8 |
| 8 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $8 | $7 | $2 | — | $1 | $8 |
| 9 | Lancaster General Health | Lancaster, PA | $10 | $10 | $6 | — | $2 | $13.5k |
| 10 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $8 | $7 | $2 | — | $1 | $8 |
Ask Claude or any MCP client for NDC 409189103 pricing at a specific hospital — see how to connect.