NDC 63629122101
Reported by 5 hospitals in the network.
Filter by billing methodology
Based on 1,308–1,344 billing samples across every hospital reporting.
Low
$30
Average
$137
Median
$89
High
$448
| # | 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 | Tucson Medical Center | Tucson, AZ | $18 | $30 | $31 | 654–672 | $3 | $99 |
| 2 | Tucson Medical Center | Tucson, AZ | $18 | $30 | $31 | 654–672 | $3 | $99 |
| 3 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital | Provo, UT | $96 | $89 | $24 | — | $2 | $120 |
| 4 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital | Ogden, UT | $96 | $89 | $25 | — | $1 | $134 |
| 5 | OU Health - University of Oklahoma Medical Center | Oklahoma City, OK | $448 | $448 | — | — | $448 | $448 |
Ask Claude or any MCP client for NDC 63629122101 pricing at a specific hospital — see how to connect.