NDC 87040203
Reported by 56 hospitals in the network.
Based on 632–650 billing samples across every hospital reporting.
Low
$0
Average
$163
Median
$24
High
$3.9k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 56 hospitals; the 90th percentile is 27.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Tri-City Medical Center | Oceanside, CA | $0 | $0 | $0 | 460–478 | $0 | $0 |
| 2 | Boston Children's Hospital | Boston, MA | $34 | $34 | $6 | 172 | $22 | $43 |
| 3 | IOM Health System LP | Fort Wayne, IN | $1 | $2 | $1 | — | $1 | $3 |
| 4 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $1 | $1 | $0 | — | $0 | $2 |
| 5 | St. Joseph Health System, LLC | Wayne, IN | $2 | $3 | $1 | — | $1 | $4 |
| 6 | Dupont Hospital LLC | Wayne, IN | $2 | $2 | $1 | — | $1 | $3 |
| 7 | Victoria of Texas LP | Victoria, TX | $18 | $29 | $26 | — | $6 | $89 |
| 8 | Victoria of Texas LP | Victoria, TX | $18 | $29 | $26 | — | $6 | $89 |
| 9 | East Georgia Regional Medical Center LLC | Statesboro, GA | $0 | $34 | $170 | — | $0 | $900 |
| 10 | Piney Woods Healthcare System LP | Lufkin, TX | $1 | $3 | $2 | — | $0 | $7 |
Ask Claude or any MCP client for NDC 87040203 pricing at a specific hospital — see how to connect.