NDC 904208560
Reported by 8 hospitals in the network under the case rate methodology.
Based on 172 billing samples across every hospital reporting.
Low
$0
Average
$6
Median
$1
High
$31
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 1771.5× 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 | Boston Children's Hospital | Boston, MA | $31 | $31 | — | 172 | $19 | $38 |
| 2 | Northwest Sahurita Hospital LLC | Tucson, AZ | $1 | $1 | — | — | $0 | $1 |
| 3 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $1 | $1 | — | — | $0 | $1 |
| 4 | Northwest Hospital LLC | Tucson, AZ | $1 | $1 | — | — | $0 | $1 |
| 5 | Bullhead City Hospital Corporation | City, AZ | $12 | $12 | — | — | $1 | $12 |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $1 | $1 | — | — | $0 | $1 |
| 7 | Allina Health Systems | Paul, MN | $0 | $0 | — | — | $0 | $3 |
| 8 | Allina Health Systems | Minneapolis, MN | $0 | $0 | — | — | $0 | $3 |
Ask Claude or any MCP client for NDC 904208560 pricing at a specific hospital — see how to connect.