NDC 55513-0956-01
Reported by 66 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 419–428 billing samples across every hospital reporting.
Low
$173
Average
$1.6k
Median
$217
High
$17.0k
| # | 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 | St Joseph Mercy Ann Arbor | Ypsilanti, MI | $174 | $188 | $67 | 318 | $95 | $22.3k |
| 2 | Boston Medical Center | Boston, MA | $174 | $180 | $16 | 100 | $164 | $21.1k |
| 3 | Northwestern Lake Forest Hospital | Lake Forest, IL | $173 | $173 | — | 1–10 | $173 | $58.9k |
| 4 | Ukiah Adventist Hospital | Ukiah, CA | $174 | $202 | $56 | — | $174 | $23.5k |
| 5 | Sonora Community Hospital | Sonora, CA | $174 | $194 | $49 | — | $174 | $66.1k |
| 6 | San Joaquin Community Hospital | Bakersfield, CA | $182 | $236 | $73 | — | $182 | $122.8k |
| 7 | St Helena Hospital | Helena, CA | $182 | $203 | $51 | — | $182 | $25.8k |
| 8 | Saint Alphonsus Regional Medical Center - Boise | Boise, ID | $175 | $231 | $102 | — | $170 | $21.0k |
| 9 | Saint Alphonsus Medical Center - Nampa | Nampa, ID | $177 | $239 | $99 | — | $170 | $18.9k |
| 10 | St Joseph Mercy Chelsea | Chelsea, MI | $174 | $185 | $66 | — | $95 | $22.3k |
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