NDC 63323013017
Reported by 13 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 1–10 billing samples across every hospital reporting.
Low
$29
Average
$140
Median
$63
High
$730
| # | 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 | Sanford USD Medical Center | Sioux Falls, SD | $139 | $139 | — | 1–10 | $1 | $366 |
| 2 | Bluffton Health System LLC | Bluffton, IN | $29 | $29 | — | — | $26 | $99 |
| 3 | Dukes Health System LLC | Peru, IN | $66 | $65 | $12 | — | $38 | $207 |
| 4 | St. Joseph Health System, LLC | Wayne, IN | $231 | $231 | — | — | $55 | $231 |
| 5 | HMA Santa Rosa Medical Center LLC | Milton, FL | $193 | $730 | $1.4k | — | $38 | $4.5k |
| 6 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $265 | $265 | — | — | $82 | $367 |
| 7 | La Porte Hospital Company LLC | La Porte, IN | $45 | $45 | — | — | $45 | $157 |
| 8 | Knox Hospital Company LLC | Knox, IN | $45 | $45 | — | — | $45 | $164 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $50 | $39 | $26 | — | $0 | $63 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $76 | $63 | $21 | — | $10 | $76 |
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