NDC 70121104901
Reported by 24 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 266–1,031 billing samples across every hospital reporting.
Low
$3
Average
$21
Median
$19
High
$79
| # | 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 | Fairview Health Services | Minneapolis, MN | $22 | $24 | $22 | 71–197 | $1 | $50 |
| 2 | Fairview Health Services | Burnsville, MN | $100 | $79 | $29 | 17–170 | $1 | $100 |
| 3 | Fairview Health Services | Princeton, MN | $50 | $34 | $22 | 17–170 | $1 | $50 |
| 4 | Bexar County Hospital District | San Antonio, TX | $8 | $8 | $1 | 72–81 | $20 | $135 |
| 5 | HealthEast St John's Hospital | Maplewood, MN | $10 | $11 | $1 | 10–100 | $1 | $12 |
| 6 | Fairview Health Services | Wyoming, MN | $10 | $10 | — | 6–60 | $1 | $12 |
| 7 | Sanford Worthington Medical Center | Worthington, MN | $31 | $31 | $7 | 26–35 | $1 | $75 |
| 8 | Norton Hospitals INC | Louisville, KY | $6 | $6 | $2 | 18–36 | $0 | $40 |
| 9 | Norton Hospitals INC | Louisville, KY | $4 | $4 | $0 | 4–40 | $0 | $40 |
| 10 | Sanford Fargo Medical Center | Fargo, ND | $8 | $8 | $4 | 13–22 | $1 | $27 |
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