NDC 50458030104
Reported by 25 hospitals in the network.
Filter by billing methodology
Based on 1,308–1,344 billing samples across every hospital reporting.
Low
$1
Average
$29
Median
$4
High
$448
| # | 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 | Tucson Medical Center | Tucson, AZ | $16 | $27 | $32 | 654–672 | $3 | $99 |
| 2 | Tucson Medical Center | Tucson, AZ | $16 | $27 | $32 | 654–672 | $3 | $99 |
| 3 | IOM Health System LP | Fort Wayne, IN | $1 | $1 | $0 | — | $1 | $2 |
| 4 | Bluffton Health System LLC | Bluffton, IN | $3 | $3 | $1 | — | $1 | $4 |
| 5 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $2 | $2 | $1 | — | $1 | $5 |
| 6 | St. Joseph Health System, LLC | Wayne, IN | $2 | $2 | $1 | — | $1 | $3 |
| 7 | Dupont Hospital LLC | Wayne, IN | $1 | $1 | $0 | — | $0 | $2 |
| 8 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $1 | $0 | — | $0 | $2 |
| 9 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $0 | $1 | $0 | — | $0 | $2 |
| 10 | Northwest Hospital LLC | Tucson, AZ | $1 | $1 | $0 | — | $0 | $2 |
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