NDC 68516-5216-01
Reported by 5 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 4,401–4,410 billing samples across every hospital reporting.
Low
$12
Average
$35
Median
$33
High
$63
| # | 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 | St Mary Mercy Livonia | Livonia, MI | $12 | $12 | $0 | 4,400 | $12 | $200 |
| 2 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $33 | $33 | — | 1–10 | $33 | $212 |
| 3 | Mercy Health Hackley Campus | Muskogen, MI | $12 | $12 | $0 | — | $12 | $200 |
| 4 | The University of Texas Medical Branch | Galveston, TX | $55 | $63 | $14 | — | $46 | $232 |
| 5 | Methodist Lebonheur Childrens Hosp | MEMPHIS, TN | $53 | $53 | — | — | $53 | $53 |
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