NDC 64253090091
Reported by 9 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 267–573 billing samples across every hospital reporting.
Low
$15
Average
$30
Median
$23
High
$63
| # | 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 | $41 | $63 | $82 | 97–187 | $11 | $52 |
| 2 | Fairview Health Services | Wyoming, MN | $19 | $21 | $10 | 57–102 | $11 | $56 |
| 3 | Fairview Health Services | Princeton, MN | $20 | $22 | $6 | 43–79 | $11 | $56 |
| 4 | Fairview Health Services | Edina, MN | $22 | $28 | $9 | 20–65 | $11 | $52 |
| 5 | HealthEast St John's Hospital | Maplewood, MN | $19 | $19 | $1 | 20–56 | $11 | $52 |
| 6 | HealthEast Woodwinds Hospital | Woodbury, MN | $31 | $31 | $11 | 14–41 | $11 | $52 |
| 7 | Fairview Health Services | Burnsville, MN | $15 | $15 | $5 | 14–23 | $11 | $52 |
| 8 | Floyd Healthcare Management Inc | Rome, GA | $45 | $45 | $6 | 2–20 | $14 | $72 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $29 | $23 | $15 | — | $0 | $36 |
Ask Claude or any MCP client for NDC 64253090091 pricing at a specific hospital — see how to connect.