NDC 904122820
Reported by 8 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$1
Average
$2
Median
$2
High
$4
| # | 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 | IOM Health System LP | Fort Wayne, IN | $1 | $2 | $1 | — | $1 | $3 |
| 2 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $1 | $1 | $0 | — | $0 | $2 |
| 3 | St. Joseph Health System, LLC | Wayne, IN | $2 | $3 | $1 | — | $1 | $4 |
| 4 | Oro Valley Hospital LLC | Tucson, AZ | $2 | $2 | $2 | — | $1 | $6 |
| 5 | Northwest Hospital LLC | Tucson, AZ | $2 | $2 | $1 | — | $1 | $6 |
| 6 | Metro Knoxville HMA LLC | Powell, TN | $4 | $4 | $2 | — | $1 | $7 |
| 7 | Laredo Texas Hospital Company LP | Laredo, TX | $3 | $3 | $1 | — | $0 | $4 |
| 8 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $1 | $1 | $0 | — | $0 | $1 |
Ask Claude or any MCP client for NDC 904122820 pricing at a specific hospital — see how to connect.