NDC 58468013102
Reported by 2 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$17
Average
$27
Median
$27
High
$36
| # | 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 | Dukes Health System LLC | Peru, IN | $17 | $17 | $3 | — | $10 | $54 |
| 2 | St. Joseph Health System, LLC | Wayne, IN | $36 | $36 | — | — | $9 | $36 |
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