NDC 51672203701
Reported by 12 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 1,284–1,320 billing samples across every hospital reporting.
Low
$14
Average
$155
Median
$104
High
$792
| # | 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 | $14 | $6 | 642–660 | $3 | $99 |
| 2 | Tucson Medical Center | Tucson, AZ | $16 | $14 | $6 | 642–660 | $3 | $99 |
| 3 | Bluffton Health System LLC | Bluffton, IN | $108 | $108 | — | — | $100 | $375 |
| 4 | Dukes Health System LLC | Peru, IN | $161 | $158 | $28 | — | $93 | $502 |
| 5 | St. Joseph Health System, LLC | Wayne, IN | $254 | $254 | — | — | $61 | $254 |
| 6 | Wesley Health System LLC | Hattiesburg, MS | $96 | $96 | $14 | — | $12 | $110 |
| 7 | Victoria of Texas LP | Victoria, TX | $67 | $111 | $101 | — | $24 | $379 |
| 8 | Victoria of Texas LP | Victoria, TX | $67 | $111 | $101 | — | $24 | $379 |
| 9 | Metro Knoxville HMA LLC | Knoxville, TN | $39 | $39 | — | — | $17 | $63 |
| 10 | Gadsden Regional Medical Center LLC | Gadsden, AL | $67 | $67 | — | — | $67 | $67 |
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