NDC 58914017110
Reported by 7 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$1
Average
$4
Median
$5
High
$5
| # | 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 | $2 | $3 | $1 | — | $2 | $10 |
| 2 | Laredo Texas Hospital Company LP | Laredo, TX | $0 | $1 | $0 | — | $0 | $9 |
| 3 | UPMC Lititz | Lititz, PA | $5 | $5 | — | — | $1 | $5 |
| 4 | UPMC Memorial | York, PA | $5 | $5 | — | — | $1 | $5 |
| 5 | UPMC Hanover | Hanover, PA | $5 | $5 | — | — | $1 | $5 |
| 6 | UPMC Carlisle | Carlisle, PA | $5 | $5 | — | — | $1 | $5 |
| 7 | UPMC Pinnacle Hospitals | Harrisburg, PA | $5 | $5 | — | — | $1 | $5 |
Ask Claude or any MCP client for NDC 58914017110 pricing at a specific hospital — see how to connect.