NDC 64764-0300-20
Reported by 106 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 68–176 billing samples across every hospital reporting.
Low
$21
Average
$2.4k
Median
$28
High
$27.5k
| # | 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 | Northwestern Medicine Delnor Hospital | Geneva, IL | $24 | $23 | $1 | 4–40 | $21 | $46.5k |
| 2 | Mishawaka Medical Center | Mishawaka, IN | $22 | $27 | $13 | 20 | $12 | $30.3k |
| 3 | Catholic Health Initiatives-Iowa Corp | Des Moines, IA | $28 | $28 | $7 | 3–30 | $21 | $30.3k |
| 4 | St Joseph Mercy Ann Arbor | Ypsilanti, MI | $21 | $23 | $8 | 13 | $12 | $30.3k |
| 5 | Mercy Health Hackley Campus | Muskogen, MI | $21 | $21 | $6 | 12 | $12 | $30.3k |
| 6 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $21 | $21 | — | 2–20 | $21 | $83.7k |
| 7 | St Joseph Mercy Chelsea | Chelsea, MI | $21 | $23 | $8 | 11 | $12 | $30.3k |
| 8 | St Joseph Mercy Oakland | Pontiac, MI | $21 | $23 | $8 | 1–10 | $12 | $30.3k |
| 9 | Mercy Health Saint Marys | Grand Rapids, MI | $21 | $21 | $6 | 1–10 | $12 | $30.3k |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | INDIANAPOLIS, IN | $24 | $27 | $8 | 1–10 | $21 | $64.1k |
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