NDC 58160-0812-52
Reported by 19 hospitals in the network under the other methodology.
Based on 4–40 billing samples across every hospital reporting.
Low
$12
Average
$97
Median
$89
High
$366
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 19 hospitals; the 90th percentile is 13.2× 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 | Carle BroMenn Medical Center | Normal, IL | $17 | $17 | — | 2–20 | $9 | $86 |
| 2 | The Carle Foundation Hospital | Urbana, IL | $17 | $17 | — | 1–10 | $9 | $180 |
| 3 | Methodist Medical Center of Illinois | Peoria, IL | $17 | $17 | — | 1–10 | $17 | $86 |
| 4 | St. Joseph Health System, LLC | Wayne, IN | $366 | $366 | $366 | — | $0 | $732 |
| 5 | Jackson HMA LLC | Jackson, MS | $0 | $12 | $24 | — | $0 | $61 |
| 6 | Brandon HMA LLC | Brandon, MS | $0 | $26 | $32 | — | $0 | $68 |
| 7 | River Oaks Hospital LLC | Flowood, MS | $0 | $27 | $33 | — | $0 | $68 |
| 8 | Northside Hospital, Inc. | Lawrenceville, GA | $65 | $111 | $73 | — | $31 | $351 |
| 9 | Northside Hospital, Inc. | Canton, GA | $52 | $105 | $82 | — | $39 | $351 |
| 10 | Northside Hospital, Inc. | Atlanta, GA | $69 | $117 | $74 | — | $50 | $351 |
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