NDC 68516-5214-05
Reported by 35 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 123 billing samples across every hospital reporting.
Low
$14
Average
$59
Median
$45
High
$180
| # | 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 | Methodist Lebonheur Childrens Hosp | MEMPHIS, TN | $54 | $72 | $37 | 50 | $48 | $193 |
| 2 | Saint Joseph Health System, Inc | London, KY | $12 | $19 | $18 | 39 | $0 | $50 |
| 3 | Saint Joseph Health System, Inc | Mt. Sterling, KY | $20 | $23 | $15 | 23 | $0 | $50 |
| 4 | Saint Joseph Health System, Inc | Lexington, KY | $66 | $72 | $37 | 11 | $13 | $143 |
| 5 | Dignity Community Care | Northridge, CA | $18 | $26 | $16 | — | $11 | $54 |
| 6 | Dignity Health | Camarillo, CA | $88 | $87 | $25 | — | $35 | $131 |
| 7 | Dignity Community Care | Chandler, AZ | $59 | $90 | $89 | — | $9 | $294 |
| 8 | Dignity Community Care | Glendale, CA | $29 | $44 | $36 | — | $11 | $136 |
| 9 | Dignity Health | Santa Cruz, CA | $59 | $53 | $34 | — | $10 | $101 |
| 10 | Dignity Health | Sacramento, CA | $25 | $33 | $22 | — | $10 | $104 |
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