NDC 904640161
Reported by 26 hospitals in the network under the other methodology.
Based on 18–180 billing samples across every hospital reporting.
Low
$1
Average
$8
Median
$3
High
$48
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. 26 hospitals; the 90th percentile is 39.3× 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 | Naples HMA LLC | Naples, FL | $9 | $8 | $2 | 4–40 | $2 | $9 |
| 2 | Naples HMA LLC | Naples, FL | $9 | $8 | $2 | 4–40 | $2 | $9 |
| 3 | Naples HMA LLC | Naples, FL | $9 | $8 | $2 | 3–30 | $2 | $9 |
| 4 | Northwest Sahurita Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 2–20 | $0 | $2 |
| 5 | Northwest Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 2–20 | $0 | $2 |
| 6 | Oro Valley Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 7 | QHG of Enterprise Inc | Enterprise, AL | $48 | $48 | $7 | 1–10 | $5 | $55 |
| 8 | Gadsden Regional Medical Center LLC | Gadsden, AL | $25 | $25 | — | 1–10 | $25 | $25 |
| 9 | Bluffton Health System LLC | Bluffton, IN | $2 | $2 | — | — | $2 | $7 |
| 10 | Dukes Health System LLC | Peru, IN | $2 | $2 | $0 | — | $1 | $7 |
Ask Claude or any MCP client for NDC 904640161 pricing at a specific hospital — see how to connect.