NDC 904637061
Reported by 11 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$4
Median
$3
High
$13
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 5.7× 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 | Dukes Health System LLC | Peru, IN | $1 | $2 | $1 | — | $1 | $7 |
| 2 | Victoria of Texas LP | Victoria, TX | $2 | $3 | $1 | — | $2 | $30 |
| 3 | Victoria of Texas LP | Victoria, TX | $2 | $3 | $1 | — | $2 | $30 |
| 4 | Laredo Texas Hospital Company LP | Laredo, TX | $1 | $1 | $0 | — | $1 | $19 |
| 5 | Navarro Hospital LP | Corsicana, TX | $9 | $13 | $7 | — | $4 | $52 |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $5 | $5 | — | — | $1 | $5 |
| 7 | Allina Health Systems | Ulm, MN | $1 | $1 | $0 | — | $1 | $3 |
| 8 | Westchester Medical Center | Valhalla, NY | $8 | $8 | $2 | — | $2 | $10 |
| 9 | Mid Hudson Regional Hospital | Poughkeepsie, NY | $8 | $8 | $2 | — | $2 | $10 |
| 10 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System | Houma, LA | $4 | $4 | — | — | $1 | $4 |
Ask Claude or any MCP client for NDC 904637061 pricing at a specific hospital — see how to connect.