NDC 63304-0458-30
Reported by 10 hospitals in the network.
Filter by billing methodology
Based on 2,332–2,404 billing samples across every hospital reporting.
Low
$0
Average
$34
Median
$2
High
$124
| # | 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 | Childrens Hospital Colorado | Aurora, CO | $88 | $87 | $24 | 2,332–2,404 | $14 | $124 |
| 2 | MaineHealth | Rockport, ME | $3 | $3 | $0 | — | $3 | $3 |
| 3 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $5 | $5 | $1 | — | $2 | $7 |
| 4 | Penn State Health Milton S. Hershey Medical Center | Hershey, PA | $0 | $0 | $0 | — | $0 | $1 |
| 5 | St Joseph Regional Health Network | Reading, PA | $0 | $0 | $0 | — | $0 | $4 |
| 6 | Penn State Health Hampden Medical Center | Enola, PA | $0 | $0 | $0 | — | $0 | $1 |
| 7 | Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $0 | $0 | $0 | — | $0 | $1 |
| 8 | Penn State Health Lancaster Medical Center | Lancaster, PA | $0 | $0 | $0 | — | $0 | $1 |
| 9 | Children's Mercy Hospital | Kansas City, MO | $120 | $124 | $18 | — | $76 | $167 |
| 10 | Children's Mercy Hospital Kansas | Overland Park, KS | $120 | $124 | $18 | — | $76 | $167 |
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