NDC 63323059611
Reported by 54 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$111
Average
$177
Median
$169
High
$264
| # | 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 | Northwest Iowa Hospital Corporation | Sioux City, IA | $150 | $172 | $34 | — | $107 | $267 |
| 2 | Grinnell Regional Medical Center | Grinnell, IA | $150 | $150 | — | — | $122 | $384 |
| 3 | Sanford USD Medical Center | Sioux Falls, SD | $163 | $141 | $26 | — | $111 | $495 |
| 4 | Sanford Worthington Medical Center | Worthington, MN | $111 | $111 | — | — | $111 | $290 |
| 5 | UPMC Lititz | Lititz, PA | $162 | $264 | $194 | — | $30 | $870 |
| 6 | UPMC Memorial | York, PA | $162 | $238 | $191 | — | $36 | $870 |
| 7 | UPMC Hanover | Hanover, PA | $158 | $241 | $189 | — | $42 | $870 |
| 8 | UPMC Carlisle | Carlisle, PA | $158 | $239 | $177 | — | $30 | $870 |
| 9 | UPMC Pinnacle Hospitals | Harrisburg, PA | $155 | $186 | $78 | — | $44 | $410 |
| 10 | UPMC Somerset | Somerset, PA | $149 | $184 | $98 | — | $74 | $502 |
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