NDC 904677361
Reported by 8 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 123–141 billing samples across every hospital reporting.
Low
$1
Average
$8
Median
$2
High
$32
| # | 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 | USC Arcadia Hospital | Arcadia, CA | $1 | $1 | $0 | 62–80 | $0 | $1 |
| 2 | Sanford Luverne Medical Center | Luverne, MN | $32 | $32 | — | 46 | $1 | $32 |
| 3 | Sanford Jackson Hospital | Jackson, MN | $23 | $23 | — | 15 | $0 | $23 |
| 4 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $1 | $1 | $0 | — | $0 | $1 |
| 5 | Allina Health Systems | Shakopee, MN | $1 | $1 | $0 | — | $0 | $3 |
| 6 | Allina Health Systems | Cambridge, MN | $2 | $2 | $1 | — | $0 | $3 |
| 7 | Allina Health Systems | Owatonna, MN | $2 | $2 | $1 | — | $0 | $3 |
| 8 | Allina Health Systems | Ulm, MN | $2 | $2 | $1 | — | $1 | $3 |
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