NDC 72572-0122-25
Reported by 13 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 306–315 billing samples across every hospital reporting.
Low
$1
Average
$5
Median
$1
High
$40
| # | 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 | CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $4 | $5 | $4 | 306–315 | $0 | $12 |
| 2 | Dignity Health | Henderson, NV | $6 | $8 | $6 | — | $0 | $19 |
| 3 | Dignity Health | Mt Shasta, CA | $50 | $40 | $19 | — | $5 | $60 |
| 4 | Saint Alphonsus Medical Center - Nampa | Nampa, ID | $1 | $1 | — | — | $1 | $6 |
| 5 | St. Francis Hospital Inc | Wilmington, DE | $1 | $1 | — | — | $1 | $4 |
| 6 | St Peters Hospital | Albany, NY | $1 | $1 | — | — | $1 | $4 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | CITY, IN | $1 | $1 | $1 | — | $1 | $34 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT | CROWN POINT, IN | $1 | $1 | $1 | — | $1 | $34 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER | DYER, IN | $2 | $2 | $1 | — | $1 | $34 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | MOORESVILLE, IN | $1 | $1 | $0 | — | $1 | $34 |
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