NDC 69367-0190-50
Reported by 24 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$8
Average
$20
Median
$12
High
$48
| # | 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 | Reynolds Memorial Hospital, Inc. | Glen Dale, WV | $12 | $12 | — | — | $12 | $12 |
| 2 | West Virginia Health Care Cooperative Inc. | Summersville, WV | $12 | $12 | — | — | $12 | $12 |
| 3 | University of Arkansas for Medical Sciences | Little Rock, AR | $6 | $8 | $2 | — | $6 | $887 |
| 4 | Indiana University Health West Hospital Inc. | Avon, IN | $16 | $12 | $6 | — | $4 | $162 |
| 5 | Indiana University Health North Hospital Inc. | Carmel, IN | $16 | $12 | $6 | — | $4 | $162 |
| 6 | Indiana University Health Inc. | Indianapolis, IN | $16 | $12 | $6 | — | $4 | $162 |
| 7 | Indiana University Health Paoli Inc. | Paoli, IN | $10 | $10 | $6 | — | $4 | $171 |
| 8 | Indiana University Health Bloomington Inc. | Bloomington, IN | $16 | $12 | $6 | — | $4 | $171 |
| 9 | Indiana University Health White Memorial Hospital Inc. | Monticello, IN | $10 | $10 | $6 | — | $4 | $166 |
| 10 | Indiana University Health Tipton Hospital Inc. | Tipton, IN | $16 | $12 | $6 | — | $4 | $166 |
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