NDC 76297-0001-01
Reported by 15 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 111–174 billing samples across every hospital reporting.
Low
$2
Average
$19
Median
$18
High
$55
| # | 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 | Dignity Community Care | Sacramento, CA | $5 | $18 | $21 | 88–142 | $1 | $60 |
| 2 | Memorial Hospital Of Polk County | Livingston, TX | $52 | $51 | $30 | 22 | $1 | $97 |
| 3 | Memorial Health System Of East Texas | Lufkin, TX | $55 | $49 | $32 | 1–10 | $1 | $97 |
| 4 | Memorial Medical Center San Augustine | San Augustine, TX | $73 | $55 | $36 | — | $1 | $112 |
| 5 | Prisma Health Richland Hospital | COLUMBIA, SC | $3 | $25 | $43 | — | $2 | $174 |
| 6 | Prisma Health Baptist Parkridge Hospital | COLUMBIA, SC | $3 | $25 | $43 | — | $2 | $174 |
| 7 | Prisma Health Baptist Columbia Hospital | COLUMBIA, SC | $2 | $23 | $38 | — | $2 | $174 |
| 8 | Prisma Health Tuomey Hospital | SUMTER, SC | $2 | $20 | $32 | — | $2 | $174 |
| 9 | The University of Texas Medical Branch | Galveston, TX | $2 | $8 | $8 | — | $1 | $33 |
| 10 | Inspira Medical Center Elmer | Elmer, NJ | $1 | $2 | $1 | — | $1 | $5 |
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