NDC 69097014260
Reported by 11 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$28
Median
$2
High
$223
| # | 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 | Dukes Health System LLC | Peru, IN | $59 | $67 | $61 | — | $12 | $439 |
| 2 | Victoria of Texas LP | Victoria, TX | $1 | $1 | $0 | — | $1 | $10 |
| 3 | Victoria of Texas LP | Victoria, TX | $1 | $1 | $0 | — | $1 | $10 |
| 4 | Laredo Texas Hospital Company LP | Laredo, TX | $0 | $0 | $0 | — | $0 | $5 |
| 5 | Piney Woods Healthcare System LP | Lufkin, TX | $1 | $1 | $0 | — | $0 | $6 |
| 6 | UPMC Lititz | Lititz, PA | $2 | $2 | — | — | $0 | $3 |
| 7 | UPMC Memorial | York, PA | $2 | $2 | — | — | $1 | $3 |
| 8 | UPMC Hanover | Hanover, PA | $2 | $2 | — | — | $1 | $3 |
| 9 | UPMC Carlisle | Carlisle, PA | $2 | $2 | — | — | $0 | $3 |
| 10 | UPMC Pinnacle Hospitals | Harrisburg, PA | $2 | $2 | — | — | $1 | $3 |
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