NDC 54799050721
Reported by 12 hospitals in the network.
Filter by billing methodology
Based on 1,308–1,344 billing samples across every hospital reporting.
Low
$27
Average
$124
Median
$78
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 | $18 | $34 | $32 | 654–672 | $3 | $99 |
| 2 | Tucson Medical Center | Tucson, AZ | $18 | $34 | $32 | 654–672 | $3 | $99 |
| 3 | IOM Health System LP | Fort Wayne, IN | $105 | $118 | $43 | — | $54 | $197 |
| 4 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $240 | $259 | $92 | — | $117 | $491 |
| 5 | St. Joseph Health System, LLC | Wayne, IN | $150 | $161 | $60 | — | $63 | $261 |
| 6 | Wesley Health System LLC | Hattiesburg, MS | $61 | $69 | $40 | — | $16 | $146 |
| 7 | Oro Valley Hospital LLC | Tucson, AZ | $25 | $27 | $16 | — | $8 | $59 |
| 8 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $68 | $66 | $22 | — | $21 | $94 |
| 9 | OU Health - University of Oklahoma Medical Center | Oklahoma City, OK | $448 | $448 | — | — | $448 | $448 |
| 10 | The University of Texas Southwestern Medical Center at Dallas | Dallas, TX | $31 | $30 | $13 | — | $8 | $48 |
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