NDC 65162-0691-79
Reported by 13 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 1–10 billing samples across every hospital reporting.
Low
$0
Average
$3
Median
$0
High
$28
| # | 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 | Methodist Lebonheur Childrens Hosp | MEMPHIS, TN | $0 | $0 | $0 | 1–10 | $0 | $1 |
| 2 | City Hospital, Inc. | Martinsburg, WV | $0 | $0 | — | — | $0 | $0 |
| 3 | Piedmont Rockdale | Conyers, GA | $1 | $1 | $0 | — | $0 | $1.1k |
| 4 | Nebraska Medical Center | Omaha, NE | $6 | $5 | $3 | — | $0 | $13 |
| 5 | The University of Texas Medical Branch | Galveston, TX | $1 | $9 | $10 | — | $0 | $103 |
| 6 | Children's Hospital of Philadelphia, The | Philadelphia, PA | $28 | $28 | — | — | $17 | $94 |
| 7 | Methodist University Hospital | MEMPHIS, TN | $0 | $0 | $0 | — | $0 | $1 |
| 8 | Methodist South Hospital | MEMPHIS, TN | $0 | $0 | $0 | — | $0 | $80 |
| 9 | Methodist Olive Branch Hospital | OLIVE BRANCH, MS | $0 | $0 | $0 | — | $0 | $1 |
| 10 | Morristown Medical Center | Morristown, NJ | $0 | $0 | $0 | — | $0 | $0 |
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