NDC 58394-0636-03
Reported by 30 hospitals in the network under the other methodology.
Based on 5–50 billing samples across every hospital reporting.
Low
$1
Average
$11.5k
Median
$1.2k
High
$42.7k
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. 30 hospitals; the 90th percentile is 23022.0× 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 | Fairview Health Services | Minneapolis, MN | $19.6k | $19.6k | — | 4–40 | $1 | $19.6k |
| 2 | Bexar County Hospital District | San Antonio, TX | $1.2k | $1.2k | — | 1–10 | $2 | $1.2k |
| 3 | Northwest Sahurita Hospital LLC | Tucson, AZ | $1 | $1 | $0 | — | $0 | $3 |
| 4 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $1 | $1 | $0 | — | $0 | $3 |
| 5 | Northwest Hospital LLC | Tucson, AZ | $2 | $2 | $0 | — | $0 | $4 |
| 6 | Metro Knoxville HMA LLC | Knoxville, TN | $2 | $3 | $2 | — | $1 | $12 |
| 7 | Metro Knoxville HMA LLC | Powell, TN | $2 | $3 | $2 | — | $1 | $17 |
| 8 | Triad of Alabama LLC | Dothan, AL | $2 | $757 | $2.3k | — | $1 | $7.5k |
| 9 | University of Arkansas for Medical Sciences | Little Rock, AR | $2 | $2 | $1 | — | $1 | $887 |
| 10 | Prisma Health Richland Hospital | COLUMBIA, SC | $3 | $3 | $1 | — | $2 | $12.5k |
Ask Claude or any MCP client for NDC 58394-0636-03 pricing at a specific hospital — see how to connect.