NDC 58160084243
Reported by 15 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 473–572 billing samples across every hospital reporting.
Low
$18
Average
$102
Median
$41
High
$636
| # | 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 | The Carle Foundation Hospital | Urbana, IL | $27 | $27 | — | 222 | $7 | $139 |
| 2 | Carle BroMenn Medical Center | Normal, IL | $18 | $18 | — | 91 | $7 | $54 |
| 3 | Methodist Medical Center of Illinois | Peoria, IL | $27 | $27 | — | 89 | $14 | $48 |
| 4 | Froedtert Memorial Lutheran Hospital Inc | Milwaukee, WI | $41 | $41 | — | 42–60 | $33 | $268 |
| 5 | Pekin Memorial Hospital | Pekin, IL | $18 | $18 | — | 20 | $18 | $48 |
| 6 | Carle Eureka Hospital | Eureka, IL | $36 | $36 | $0 | 3–30 | $7 | $60 |
| 7 | Richland Memorial Hospital Inc | Olney, IL | $32 | $32 | — | 3–30 | $15 | $62 |
| 8 | Proctor Community Hospital | Peoria, IL | $18 | $18 | — | 2–20 | $18 | $48 |
| 9 | Holy Family Memorial Inc | Manitowoc, WI | $41 | $41 | — | 1–10 | $41 | $161 |
| 10 | St. Joseph Health System, LLC | Wayne, IN | $636 | $636 | — | — | $49 | $636 |
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