NDC 67457-0640-02
Reported by 19 hospitals in the network.
Filter by billing methodology
Based on 728–1,430 billing samples across every hospital reporting.
Low
$4
Average
$50
Median
$16
High
$256
| # | 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 | Saint Luke’s North Hospital | Smithville, MO | $41 | $56 | $69 | 356–635 | $2 | $391 |
| 2 | Saint Luke’s North Hospital | City, KS | $41 | $56 | $69 | 356–635 | $2 | $391 |
| 3 | Childrens Hospital Colorado | Aurora, CO | $6 | $15 | $12 | 16–160 | $1 | $36 |
| 4 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $223 | $215 | $140 | — | $29 | $415 |
| 5 | Northwestern Memorial Hospital | Chicago, IL | $265 | $256 | $115 | — | $73 | $415 |
| 6 | Northwestern Medicine Valley West Hospital | Sandwich, IL | $188 | $159 | $99 | — | $21 | $311 |
| 7 | Penn State Health Milton S. Hershey Medical Center | Hershey, PA | $5 | $5 | $2 | — | $2 | $7 |
| 8 | St Joseph Regional Health Network | Reading, PA | $5 | $5 | $2 | — | $3 | $11 |
| 9 | Penn State Health Hampden Medical Center | Enola, PA | $5 | $5 | $2 | — | $2 | $8 |
| 10 | Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $6 | $5 | $2 | — | $3 | $8 |
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