NDC 63323004710
Reported by 12 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$0
Average
$23
Median
$25
High
$85
| # | 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 Health System, LLC | Wayne, IN | $2 | $2 | — | — | $0 | $2 |
| 2 | Vicksburg Healthcare LLC | Vicksburg, MS | $15 | $30 | $26 | — | $0 | $73 |
| 3 | Metro Knoxville HMA LLC | Knoxville, TN | $1 | $1 | — | — | $0 | $1 |
| 4 | Metro Knoxville HMA LLC | Powell, TN | $1 | $1 | — | — | $0 | $2 |
| 5 | Navarro Hospital LP | Corsicana, TX | $97 | $85 | $33 | — | $19 | $251 |
| 6 | Longview Medical Center LP | Longview, TX | $9 | $22 | $19 | — | $4 | $83 |
| 7 | La Porte Hospital Company LLC | La Porte, IN | $0 | $0 | — | — | $0 | $2 |
| 8 | Northside Hospital, Inc. | Lawrenceville, GA | $10 | $25 | $29 | — | $2 | $110 |
| 9 | Northside Hospital, Inc. | Canton, GA | $16 | $27 | $29 | — | $2 | $110 |
| 10 | Northside Hospital, Inc. | Atlanta, GA | $18 | $27 | $29 | — | $2 | $110 |
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