NDC 54288-0103-10
Reported by 148 hospitals in the network.
Filter by billing methodology
Based on 1,387–2,098 billing samples across every hospital reporting.
Low
$2
Average
$62
Median
$32
High
$1.2k
| # | 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 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $101 | $101 | $32 | 766–802 | $13 | $155 |
| 2 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton | Brighton, MI | $17 | $19 | $8 | 501 | $8 | $35 |
| 3 | Mercy Health Saint Marys | Grand Rapids, MI | $21 | $23 | $6 | 9–90 | $16 | $35 |
| 4 | St Mary Mercy Livonia | Livonia, MI | $15 | $17 | $7 | 31–58 | $7 | $35 |
| 5 | Dignity Health | Sacramento, CA | $2 | $17 | $23 | 7–70 | $1 | $56 |
| 6 | Dignity Health | Carmichael, CA | $2 | $16 | $22 | 6–60 | $1 | $58 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER | DYER, IN | $66 | $67 | $17 | 6–60 | $39 | $95 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | MOORESVILLE, IN | $63 | $65 | $13 | 6–60 | $38 | $95 |
| 9 | Samaritan Hospital | Troy, NY | $12 | $14 | $4 | 5–50 | $6 | $21 |
| 10 | Flaget Healthcare, Inc | Bardstown, KY | $69 | $50 | $30 | 17 | $1 | $84 |
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