NDC 66794-0157-01
Reported by 21 hospitals in the network under the other methodology.
Low
$7
Average
$691
Median
$100
High
$5.3k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 21 hospitals; the 90th percentile is 199.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Mercy Health Saint Marys | Grand Rapids, MI | $99 | $100 | $1 | — | $99 | $3.3k |
| 2 | University Health Shreveport, Llc | Shreveport, LA | $1.5k | $1.6k | $900 | — | $170 | $2.7k |
| 3 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc | Shreveport, LA | $1.1k | $1.5k | $872 | — | $170 | $2.6k |
| 4 | Rush Medical Foundation | Meridian, MS | $3.4k | $3.2k | $1.7k | — | $140 | $5.3k |
| 5 | Rush Care, Inc. | Meridian, MS | $5.3k | $5.3k | — | — | $5.3k | $5.3k |
| 6 | Nebraska Medical Center | Omaha, NE | $27 | $32 | $14 | — | $7 | $742 |
| 7 | Bellevue Medical Center Llc | Bellevue, NE | $27 | $32 | $14 | — | $7 | $742 |
| 8 | University of Arkansas for Medical Sciences | Little Rock, AR | $183 | $212 | $53 | — | $173 | $887 |
| 9 | Arkansas Childrens Northwest | Springdale, AR | $186 | $186 | — | — | $186 | $186 |
| 10 | Sacred Heart-Riverbend | Springfield, OR | $200 | $322 | $224 | — | $145 | $800 |
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