NDC 69800-4203-01
Reported by 22 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$78
Average
$240
Median
$174
High
$1.4k
| # | 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 | Mid Columbia Medical Center | Dalles, OR | $143 | $1.4k | $3.2k | — | $140 | $12.0k |
| 2 | Saint Marys Hospital | Waterbury, CT | $138 | $174 | $65 | — | $135 | $2.5k |
| 3 | The Mercy Hospital Inc | Springfield, MA | $138 | $170 | $63 | — | $135 | $1.9k |
| 4 | Saint Francis Hospital and Medical Center | Hartford, CT | $138 | $158 | $48 | — | $135 | $1.6k |
| 5 | Saint Alphonsus Medical Center - Nampa | Nampa, ID | $140 | $189 | $79 | — | $135 | $2.8k |
| 6 | Johnson Memorial Hospital | Stafford Springs, CT | $138 | $173 | $65 | — | $135 | $3.1k |
| 7 | Saint Alphonsus Medical Center - Baker City | Baker City, OR | $268 | $268 | — | — | $268 | $3.1k |
| 8 | St Joseph Mercy Chelsea | Chelsea, MI | $138 | $147 | $52 | — | $75 | $3.1k |
| 9 | Mercy Health Saint Marys | Grand Rapids, MI | $135 | $133 | $39 | — | $75 | $3.1k |
| 10 | Mercy Medical Center - Dubuque | Dubuque, IA | $186 | $259 | $171 | — | $135 | $3.1k |
Ask Claude or any MCP client for NDC 69800-4203-01 pricing at a specific hospital — see how to connect.