NDC 69339-0137-05
Reported by 40 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 3–30 billing samples across every hospital reporting.
Low
$5
Average
$28
Median
$14
High
$174
| # | 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 | Dignity Community Care | Sacramento, CA | $14 | $48 | $59 | 3–30 | $6 | $159 |
| 2 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $6 | $7 | $3 | — | $6 | $122 |
| 3 | Brfhh Monroe, Llc | Monroe, LA | $6 | $6 | — | — | $6 | $108 |
| 4 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana | LULING, LA | $6 | $8 | $3 | — | $6 | $146 |
| 5 | University Hospital & Clinics, Inc. | Lafayette, LA | $6 | $6 | — | — | $6 | $343 |
| 6 | Acadia General Hospital, Inc | 1305 CROWLEY RAYNE HWY | $6 | $6 | — | — | $6 | $315 |
| 7 | Ochsner Medical Center � Kenner Llc | Kenner, LA | $6 | $6 | — | — | $6 | $213 |
| 8 | Indiana University Health West Hospital Inc. | Avon, IN | $15 | $15 | $1 | — | $13 | $49 |
| 9 | Indiana University Health North Hospital Inc. | Carmel, IN | $15 | $15 | $1 | — | $13 | $49 |
| 10 | Indiana University Health Inc. | Indianapolis, IN | $15 | $15 | $1 | — | $13 | $49 |
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