NDC 63402030810
Reported by 4 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$14
Average
$91
Median
$72
High
$205
| # | 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 | St. Joseph Health System, LLC | Wayne, IN | $27 | $27 | — | — | $7 | $27 |
| 2 | Affinity Hospital LLC | Birmingham, AL | $205 | $205 | $51 | — | $38 | $256 |
| 3 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $14 | $14 | — | — | $4 | $19 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $162 | $118 | $56 | — | $18 | $162 |
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