NDC 63323-0535-87
Reported by 30 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 363–723 billing samples across every hospital reporting.
Low
$1
Average
$7
Median
$4
High
$63
| # | 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 | Saint Luke’s East Hospital | Summit, MO | $4 | $4 | $1 | 189–279 | $2 | $199 |
| 2 | Saint Luke’s North Hospital | Smithville, MO | $4 | $4 | $1 | 86–212 | $2 | $199 |
| 3 | Saint Luke’s North Hospital | City, KS | $4 | $4 | $1 | 86–212 | $2 | $199 |
| 4 | Saint Luke’s South Hospital, Inc | Overland Park, KS | $4 | $4 | $1 | 2–20 | $2 | $199 |
| 5 | Trinity Hospital Holding Company | Steubenville, OH | $1 | $4 | $5 | — | $1 | $12 |
| 6 | UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $1 | $1 | $0 | — | $1 | $66 |
| 7 | UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $1 | $2 | $1 | — | $1 | $22 |
| 8 | Ochsner Medical Center � Kenner Llc | Kenner, LA | $1 | $1 | — | — | $1 | $42 |
| 9 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $2 | $2 | — | — | $2 | $142 |
| 10 | Prisma Health Greenville Memorial Hospital | GREENVILLE, SC | $4 | $4 | $1 | — | $3 | $62 |
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