NDC 87040203
Reported by 7 hospitals in the network under the other methodology.
Low
$1
Average
$16
Median
$20
High
$26
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 7 hospitals; the 90th percentile is 8.8× 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 | St. Joseph Health System, LLC | Wayne, IN | $4 | $4 | — | — | $1 | $4 |
| 2 | Victoria of Texas LP | Victoria, TX | $16 | $26 | $24 | — | $6 | $89 |
| 3 | Victoria of Texas LP | Victoria, TX | $16 | $26 | $24 | — | $6 | $89 |
| 4 | Piney Woods Healthcare System LP | Lufkin, TX | $1 | $1 | — | — | $0 | $7 |
| 5 | USC Arcadia Hospital | Arcadia, CA | $10 | $10 | $1 | — | $6 | $18 |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $30 | $22 | $10 | — | $3 | $30 |
| 7 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System | Houma, LA | $11 | $20 | $17 | — | $11 | $59 |
Ask Claude or any MCP client for NDC 87040203 pricing at a specific hospital — see how to connect.