NDC 42858050103
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 86–860 billing samples across every hospital reporting.
Low
$0
Average
$12
Median
$7
High
$85
| # | 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 | Fairview Health Services | Minneapolis, MN | $10 | $9 | $4 | 24–240 | $0 | $12 |
| 2 | HealthEast St John's Hospital | Maplewood, MN | $10 | $7 | $4 | 18–180 | $0 | $11 |
| 3 | Fairview Health Services | Wyoming, MN | $1 | $2 | $1 | 18–180 | $0 | $12 |
| 4 | HealthEast Woodwinds Hospital | Woodbury, MN | $5 | $4 | $1 | 18–180 | $0 | $11 |
| 5 | Fairview Health Services | Burnsville, MN | $4 | $4 | — | 6–60 | $0 | $11 |
| 6 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 2–20 | $0 | $7 |
| 7 | Bluffton Health System LLC | Bluffton, IN | $13 | $13 | — | — | $12 | $46 |
| 8 | Dukes Health System LLC | Peru, IN | $11 | $11 | $2 | — | $6 | $34 |
| 9 | St. Joseph Health System, LLC | Wayne, IN | $23 | $23 | — | — | $5 | $23 |
| 10 | Wesley Health System LLC | Hattiesburg, MS | $42 | $42 | $6 | — | $5 | $48 |
Ask Claude or any MCP client for NDC 42858050103 pricing at a specific hospital — see how to connect.