NDC 904655161
Reported by 70 hospitals in the network.
Filter by billing methodology
Based on 2,899–3,169 billing samples across every hospital reporting.
Low
$0
Average
$27
Median
$4
High
$546
| # | 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 | Bexar County Hospital District | San Antonio, TX | $4 | $5 | $8 | 1,207–1,243 | $2 | $49 |
| 2 | The Carle Foundation Hospital | Urbana, IL | $1 | $1 | $1 | 718 | $0 | $2 |
| 3 | Tri-City Medical Center | Oceanside, CA | $7 | $8 | $4 | 460–478 | $3 | $15 |
| 4 | Carle BroMenn Medical Center | Normal, IL | $2 | $4 | $12 | 264 | $0 | $59 |
| 5 | Methodist Medical Center of Illinois | Peoria, IL | $1 | $1 | $1 | 99–126 | $0 | $2 |
| 6 | Pekin Memorial Hospital | Pekin, IL | $1 | $1 | $1 | 41–86 | $0 | $2 |
| 7 | Proctor Community Hospital | Peoria, IL | $1 | $1 | $0 | 52–70 | $0 | $2 |
| 8 | Richland Memorial Hospital Inc | Olney, IL | $1 | $1 | $1 | 30–75 | $1 | $2 |
| 9 | Carle Eureka Hospital | Eureka, IL | $1 | $1 | $1 | 25–79 | $0 | $2 |
| 10 | Crestview Hospital Corporation | Crestview, FL | $98 | $220 | $637 | 2–20 | $27 | $3.5k |
Ask Claude or any MCP client for NDC 904655161 pricing at a specific hospital — see how to connect.