NDC 69374098410
Reported by 3 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$64
Average
$121
Median
$64
High
$234
| # | 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 | Victoria of Texas LP | Victoria, TX | $48 | $64 | $34 | — | $46 | $729 |
| 2 | Victoria of Texas LP | Victoria, TX | $48 | $64 | $34 | — | $46 | $729 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $234 | $234 | — | — | $26 | $234 |
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