NDC 62935-0453-45
Reported by 39 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 64–199 billing samples across every hospital reporting.
Low
$176
Average
$2.7k
Median
$274
High
$8.8k
| # | 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 | St Joseph Mercy Ann Arbor | Ypsilanti, MI | $171 | $185 | $66 | 21–66 | $93 | $3.3k |
| 2 | St Joseph Mercy Chelsea | Chelsea, MI | $171 | $182 | $65 | 23–59 | $93 | $3.3k |
| 3 | Plymouth Medical Center | Plymouth, IN | $176 | $216 | $103 | 16–34 | $95 | $3.7k |
| 4 | Johnson Memorial Hospital | Stafford Springs, CT | $171 | $215 | $81 | 1–10 | $167 | $5.3k |
| 5 | St Mary Mercy Livonia | Livonia, MI | $171 | $182 | $65 | 1–10 | $93 | $3.3k |
| 6 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton | Brighton, MI | $169 | $185 | $66 | 1–10 | $93 | $3.3k |
| 7 | Mercy Health Services-Iowa Corp. | Mason City, IA | $210 | $259 | $113 | 1–10 | $167 | $2.1k |
| 8 | Saint Alphonsus Regional Medical Center - Boise | Boise, ID | $172 | $227 | $100 | — | $167 | $2.6k |
| 9 | Saint Alphonsus Medical Center - Baker City | Baker City, OR | $332 | $332 | — | — | $332 | $1.4k |
| 10 | Catholic Health Initiatives-Iowa Corp | Des Moines, IA | $243 | $274 | $114 | — | $167 | $2.1k |
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