NDC 63402020830
Reported by 12 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$43
Average
$161
Median
$161
High
$288
| # | 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 | Dukes Health System LLC | Peru, IN | $215 | $288 | $114 | — | $198 | $1.1k |
| 2 | UPMC Magee-Womens Hospital | Pittsburgh, PA | $47 | $47 | — | — | $31 | $200 |
| 3 | UPMC Presbyterian | Pittsburgh, PA | $43 | $43 | — | — | $31 | $177 |
| 4 | UPMC Passavant - McCandless | Pittsburgh, PA | $47 | $47 | $2 | — | $44 | $148 |
| 5 | UPMC Hamot | Erie, PA | $49 | $48 | $4 | — | $16 | $87 |
| 6 | UPMC Childrens Hospital of Pittsburgh | Pittsburgh, PA | $43 | $43 | — | — | $31 | $213 |
| 7 | UPMC Northwest | Seneca, PA | $49 | $49 | $3 | — | $25 | $83 |
| 8 | Northside Hospital, Inc. | Lawrenceville, GA | $273 | $273 | — | — | $41 | $273 |
| 9 | Northside Hospital, Inc. | Canton, GA | $273 | $273 | — | — | $30 | $273 |
| 10 | Northside Hospital, Inc. | Atlanta, GA | $273 | $273 | — | — | $44 | $273 |
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