NDC 904651661
Reported by 24 hospitals in the network under the other methodology.
Based on 34–142 billing samples across every hospital reporting.
Low
$1
Average
$8
Median
$2
High
$77
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. 24 hospitals; the 90th percentile is 18.5× 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 | Naples HMA LLC | Naples, FL | $13 | $12 | $3 | 14–41 | $2 | $13 |
| 2 | Naples HMA LLC | Naples, FL | $13 | $12 | $3 | 14–41 | $2 | $13 |
| 3 | Oro Valley Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 2–20 | $0 | $2 |
| 4 | Northwest Sahurita Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 5 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 6 | Northwest Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 7 | Triad of Alabama LLC | Dothan, AL | $4 | $4 | — | 1–10 | $4 | $4 |
| 8 | Bluffton Health System LLC | Bluffton, IN | $3 | $3 | — | — | $2 | $9 |
| 9 | Dukes Health System LLC | Peru, IN | $2 | $2 | $0 | — | $1 | $7 |
| 10 | St. Joseph Health System, LLC | Wayne, IN | $5 | $5 | — | — | $1 | $5 |
Ask Claude or any MCP client for NDC 904651661 pricing at a specific hospital — see how to connect.