NDC 69238-2122-09
Reported by 4 hospitals in the network under the other methodology.
Low
$89
Average
$170
Median
$175
High
$240
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Ochsner Bayou Llc | Raceland, LA | $69 | $89 | $47 | — | $0 | $212 |
| 2 | Rush Medical Foundation | Meridian, MS | $227 | $236 | $43 | — | $0 | $320 |
| 3 | University Hospital & Clinics, Inc. | Lafayette, LA | $151 | $240 | $136 | — | $0 | $529 |
| 4 | Ochsner Medical Center � Hancock Llc | Bay St. Louis, MS | $104 | $114 | $15 | — | $104 | $135 |
Ask Claude or any MCP client for NDC 69238-2122-09 pricing at a specific hospital — see how to connect.