NDC 58160082311
Reported by 17 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 60–501 billing samples across every hospital reporting.
Low
$95
Average
$529
Median
$458
High
$2.7k
| # | 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 | Fairview Health Services | Minneapolis, MN | $215 | $255 | $94 | 27–171 | $66 | $618 |
| 2 | Northside Hospital, Inc. | Atlanta, GA | $585 | $464 | $199 | 12–120 | $124 | $1.1k |
| 3 | Northside Hospital, Inc. | Lawrenceville, GA | $563 | $453 | $202 | 8–80 | $124 | $1.1k |
| 4 | Northside Hospital, Inc. | Cumming, GA | $585 | $458 | $207 | 6–60 | $124 | $1.1k |
| 5 | Carle BroMenn Medical Center | Normal, IL | $94 | $95 | $2 | 3–30 | $34 | $253 |
| 6 | The Carle Foundation Hospital | Urbana, IL | $141 | $141 | — | 2–20 | $34 | $555 |
| 7 | Fairview Health Services | Wyoming, MN | $232 | $232 | — | 1–10 | $90 | $615 |
| 8 | Methodist Medical Center of Illinois | Peoria, IL | $141 | $141 | — | 1–10 | $68 | $226 |
| 9 | St. Joseph Health System, LLC | Wayne, IN | $2.7k | $2.7k | — | — | $217 | $2.7k |
| 10 | La Porte Hospital Company LLC | La Porte, IN | $644 | $644 | — | — | $217 | $2.2k |
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