NDC 63323-0488-31
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LIDO/EPI1.5% 1:200000 30M
Low
$0
Average
$29
Median
$10
High
$86
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 3732.9× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dignity Health Folsom, CA | $42 | $38 | $15 | 40% | — | $6 – $56 |
| 2 | Triad of Alabama LLC Dothan, AL | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Dignity Health Red Bluff, CA | $59 | $65 | $11 | 17% | — | $45 – $78 |
| 4 | Troy Community Hospital Incorporated Troy, PA | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Dignity Community Care Sacramento, CA | $46 | $46 | $11 | 23% | — | $14 – $56 |
| 6 | Dignity Health Sacramento, CA | $44 | $42 | $11 | 25% | — | $14 – $56 |
| 7 | Dignity Health Redding, CA | $58 | $56 | $5 | 9% | — | $47 – $62 |
| 8 | Affinity Hospital LLC Birmingham, AL | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Dukes Health System LLC Peru, IN | $47 | $63 | $25 | 40% | — | $43 – $140 |
| 10 | Denver Health and Hospital Authority Denver, CO | $0 | $0 | — | — | — | $0 – $0 |
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