NDC 67684-2001-03
Reported by 24 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 94 billing samples across every hospital reporting.
Low
$0
Average
$36
Median
$24
High
$160
| # | 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE | LAFAYETTE, IN | $1 | $4 | $6 | 94 | $1 | $56 |
| 2 | Dignity Health | Folsom, CA | $48 | $92 | $94 | — | $0 | $221 |
| 3 | Sierra Nevada Memorial-miners Hospital | Grass Valley, CA | $182 | $133 | $96 | — | $0 | $231 |
| 4 | Dignity Health | Carmichael, CA | $48 | $90 | $92 | — | $0 | $223 |
| 5 | Johnson Memorial Hospital | Stafford Springs, CT | $168 | $160 | $32 | — | $23 | $168 |
| 6 | Mercy Medical Center - Dubuque | Dubuque, IA | $24 | $24 | — | — | $24 | $100 |
| 7 | Sartori Memorial Hospital Inc | Cedar Falls, IA | $24 | $24 | — | — | $23 | $100 |
| 8 | Catholic Health Initiatives-Iowa Corp | West Des Moines, IA | $24 | $24 | — | — | $20 | $100 |
| 9 | Mercy Medical Center - Dyersville | Dyersville, IA | $24 | $24 | — | — | $24 | $112 |
| 10 | Mercy Medical Center - Newton | Newton, IA | $24 | $24 | — | — | $24 | $100 |
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