NDC 69339017401
Reported by 4 hospitals in the network.
Filter by billing methodology
Based on 3,090–3,126 billing samples across every hospital reporting.
Low
$110
Average
$205
Median
$131
High
$448
| # | 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 | North Carolina Baptist Hospital | Bermuda Run, NC | $83 | $110 | $56 | 3,090–3,126 | $47 | $225 |
| 2 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital | City, UT | $110 | $115 | $15 | — | $54 | $133 |
| 3 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital | Spanish Fork, UT | $161 | $147 | $42 | — | $15 | $204 |
| 4 | OU Health - University of Oklahoma Medical Center | Oklahoma City, OK | $448 | $448 | — | — | $448 | $448 |
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