NDC 58160082311
Reported by 64 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$89
Average
$307
Median
$259
High
$1.0k
| # | 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 | Central Iowa Hospital Corporation | Des Moines, IA | $216 | $216 | — | — | $56 | $216 |
| 2 | Central Iowa Hospital Corporation | Des Moines, IA | $216 | $216 | — | — | $56 | $216 |
| 3 | IOM Health System LP | Fort Wayne, IN | $768 | $967 | $768 | — | $217 | $2.6k |
| 4 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $503 | $670 | $479 | — | $217 | $1.7k |
| 5 | St. Joseph Health System, LLC | Wayne, IN | $801 | $1.0k | $805 | — | $217 | $2.7k |
| 6 | La Porte Hospital Company LLC | La Porte, IN | $744 | $797 | $504 | — | $217 | $2.2k |
| 7 | Sanford Worthington Medical Center | Worthington, MN | $184 | $184 | — | — | $184 | $453 |
| 8 | UPMC Magee-Womens Hospital | Pittsburgh, PA | $126 | $194 | $207 | — | $11 | $698 |
| 9 | UPMC Presbyterian | Pittsburgh, PA | $17 | $189 | $239 | — | $11 | $857 |
| 10 | UPMC Passavant - McCandless | Pittsburgh, PA | $160 | $205 | $217 | — | $11 | $752 |
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