NDC 63323028510
Reported by 24 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 319–697 billing samples across every hospital reporting.
Low
$0
Average
$21
Median
$13
High
$178
| # | 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 | Minneapolis, MN | $25 | $56 | $78 | 99–207 | $0 | $317 |
| 2 | Fairview Health Services | Wyoming, MN | $19 | $21 | $10 | 57–102 | $0 | $41 |
| 3 | Fairview Health Services | Edina, MN | $41 | $37 | $13 | 24–105 | $0 | $50 |
| 4 | Fairview Health Services | Princeton, MN | $20 | $22 | $6 | 43–79 | $0 | $35 |
| 5 | Bexar County Hospital District | San Antonio, TX | $15 | $18 | $13 | 46–64 | $4 | $80 |
| 6 | HealthEast St John's Hospital | Maplewood, MN | $18 | $14 | $7 | 22–76 | $0 | $20 |
| 7 | HealthEast Woodwinds Hospital | Woodbury, MN | $31 | $31 | $11 | 14–41 | $0 | $43 |
| 8 | Fairview Health Services | Burnsville, MN | $15 | $15 | $5 | 14–23 | $0 | $20 |
| 9 | St. Joseph Health System, LLC | Wayne, IN | $178 | $178 | — | — | $43 | $178 |
| 10 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $3 |
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