NDC 904667104
Reported by 33 hospitals in the network.
Filter by billing methodology
Based on 1,097–1,259 billing samples across every hospital reporting.
Low
$1
Average
$21
Median
$3
High
$580
| # | 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 | Tri-City Medical Center | Oceanside, CA | $8 | $10 | $4 | 460–478 | $3 | $17 |
| 2 | The Carle Foundation Hospital | Urbana, IL | $4 | $4 | $2 | 334 | $1 | $7 |
| 3 | Carle BroMenn Medical Center | Normal, IL | $5 | $5 | $6 | 166–193 | $1 | $29 |
| 4 | Methodist Medical Center of Illinois | Peoria, IL | $3 | $3 | $1 | 86–104 | $2 | $6 |
| 5 | Proctor Community Hospital | Peoria, IL | $3 | $4 | $1 | 43–70 | $2 | $6 |
| 6 | Pekin Memorial Hospital | Pekin, IL | $3 | $3 | $1 | 4–40 | $2 | $6 |
| 7 | Carle Eureka Hospital | Eureka, IL | $5 | $5 | $6 | 3–30 | $1 | $29 |
| 8 | Richland Memorial Hospital Inc | Olney, IL | $4 | $4 | $2 | 1–10 | $2 | $7 |
| 9 | Sanford Medical Center Bismarck | Bismarck, ND | $3 | $3 | $1 | — | $1 | $3 |
| 10 | Sanford USD Medical Center | Sioux Falls, SD | $1 | $1 | $0 | — | $0 | $1 |
Ask Claude or any MCP client for NDC 904667104 pricing at a specific hospital — see how to connect.