NDC 53489014101
Reported by 11 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$5
Average
$27
Median
$37
High
$48
| # | 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 | Dukes Health System LLC | Peru, IN | $27 | $37 | $15 | — | $25 | $137 |
| 2 | UPMC Lititz | Lititz, PA | $5 | $5 | — | — | $1 | $6 |
| 3 | UPMC Memorial | York, PA | $5 | $5 | — | — | $1 | $6 |
| 4 | UPMC Hanover | Hanover, PA | $5 | $5 | — | — | $1 | $6 |
| 5 | UPMC Carlisle | Carlisle, PA | $5 | $5 | — | — | $1 | $6 |
| 6 | UPMC Pinnacle Hospitals | Harrisburg, PA | $5 | $5 | — | — | $1 | $6 |
| 7 | Northside Hospital, Inc. | Lawrenceville, GA | $48 | $48 | — | — | $7 | $48 |
| 8 | Northside Hospital, Inc. | Canton, GA | $48 | $48 | — | — | $5 | $48 |
| 9 | Northside Hospital, Inc. | Atlanta, GA | $48 | $48 | — | — | $8 | $48 |
| 10 | Northside Hospital, Inc. | Duluth, GA | $48 | $48 | — | — | $6 | $48 |
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