NDC 69097064202
Reported by 6 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$10
Average
$14
Median
$15
High
$15
| # | 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 | Laredo Texas Hospital Company LP | Laredo, TX | $8 | $10 | $4 | — | $7 | $140 |
| 2 | UPMC Lititz | Lititz, PA | $15 | $15 | — | — | $2 | $15 |
| 3 | UPMC Memorial | York, PA | $15 | $15 | — | — | $2 | $15 |
| 4 | UPMC Hanover | Hanover, PA | $15 | $15 | — | — | $3 | $15 |
| 5 | UPMC Carlisle | Carlisle, PA | $15 | $15 | — | — | $2 | $15 |
| 6 | UPMC Pinnacle Hospitals | Harrisburg, PA | $15 | $15 | — | — | $3 | $15 |
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