NDC 65219057210
Reported by 18 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 412–1,195 billing samples across every hospital reporting.
Low
$1
Average
$12
Median
$12
High
$34
| # | 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 | $20 | $34 | $61 | 168–357 | $0 | $317 |
| 2 | Fairview Health Services | Wyoming, MN | $19 | $16 | $11 | 81–189 | $1 | $49 |
| 3 | Fairview Health Services | Princeton, MN | $20 | $20 | $8 | 62–134 | $0 | $49 |
| 4 | Fairview Health Services | Edina, MN | $20 | $19 | $13 | 27–135 | $0 | $45 |
| 5 | HealthEast St John's Hospital | Maplewood, MN | $18 | $16 | $10 | 27–126 | $0 | $45 |
| 6 | HealthEast Woodwinds Hospital | Woodbury, MN | $20 | $21 | $15 | 17–71 | $1 | $45 |
| 7 | Fairview Health Services | Burnsville, MN | $14 | $15 | $4 | 15–33 | $3 | $45 |
| 8 | Norton Hospitals INC | Louisville, KY | $1 | $1 | — | 4–40 | $0 | $20 |
| 9 | Norton Hospitals INC | Louisville, KY | $1 | $1 | — | 4–40 | $0 | $20 |
| 10 | Tacoma General Allenmore Hospital | Tacoma, WA | $1 | $1 | $0 | 4–40 | $1 | $5 |
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