NDC 58160-0812-52
Reported by 109 hospitals in the network under the fee schedule methodology.
Low
$9
Average
$143
Median
$84
High
$4.3k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 109 hospitals; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | IOM Health System LP | Fort Wayne, IN | $117 | $117 | $49 | — | $0 | $632 |
| 2 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $64 | $64 | — | — | $0 | $459 |
| 3 | St. Joseph Health System, LLC | Wayne, IN | $115 | $115 | $51 | — | $0 | $732 |
| 4 | Dignity Community Care | Woodland, CA | $148 | $157 | $74 | — | $29 | $265 |
| 5 | Dignity Community Care | Sacramento, CA | $181 | $161 | $69 | — | $56 | $265 |
| 6 | Dignity Health | Mt Shasta, CA | $380 | $310 | $140 | — | $65 | $455 |
| 7 | St. Joseph's Area Health Services | Park Rapids, MN | $127 | $125 | $52 | — | $57 | $199 |
| 8 | St. Francis Medical Center | Breckenridge, MN | $142 | $137 | $48 | — | $48 | $199 |
| 9 | St Joseph's Hospital And Health Center | Dickinson, ND | $108 | $100 | $27 | — | $57 | $132 |
| 10 | Commonspirit Oregon | Pendleton, OR | $146 | $128 | $33 | — | $53 | $155 |
Ask Claude or any MCP client for NDC 58160-0812-52 pricing at a specific hospital — see how to connect.