NDC 65649020175
Reported by 6 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$5
Average
$136
Median
$99
High
$454
| # | 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 | Laredo Texas Hospital Company LP | Laredo, TX | $4 | $5 | $2 | — | $4 | $66 |
| 2 | Granbury Hospital Corporation | Granbury, TX | $40 | $62 | $39 | — | $17 | $265 |
| 3 | Navarro Hospital LP | Corsicana, TX | $71 | $100 | $54 | — | $30 | $411 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $454 | $454 | — | — | $51 | $454 |
| 5 | Tucson Medical Center | Tucson, AZ | $99 | $99 | — | — | $99 | $134 |
| 6 | Tucson Medical Center | Tucson, AZ | $99 | $99 | — | — | $99 | $134 |
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