NDC 63323028420
Reported by 14 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 29–290 billing samples across every hospital reporting.
Low
$5
Average
$104
Median
$37
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 | Fairview Health Services | Princeton, MN | $11 | $11 | — | 27–270 | $3 | $79 |
| 2 | Norton Hospitals INC | Louisville, KY | $5 | $5 | — | 2–20 | $0 | $74 |
| 3 | Bluffton Health System LLC | Bluffton, IN | $15 | $15 | — | — | $14 | $51 |
| 4 | St. Joseph Health System, LLC | Wayne, IN | $178 | $178 | — | — | $43 | $178 |
| 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 | $18 | $18 | — | — | $18 | $63 |
| 8 | Knox Hospital Company LLC | Knox, IN | $18 | $18 | — | — | $18 | $66 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $46 | $36 | $24 | — | $0 | $58 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $57 | $48 | $16 | — | $2 | $57 |
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