NDC 87040203
Reported by 2 hospitals in the network under the case rate methodology.
Based on 172 billing samples across every hospital reporting.
Low
$30
Average
$31
Median
$31
High
$31
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | 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 | Boston Children's Hospital | Boston, MA | $31 | $31 | — | 172 | $22 | $43 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $30 | $30 | — | — | $5 | $30 |
Ask Claude or any MCP client for NDC 87040203 pricing at a specific hospital — see how to connect.