NDC 904696661
Reported by 4 hospitals in the network under the fee schedule methodology.
Low
$2
Average
$6
Median
$3
High
$13
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | 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 | Dukes Health System LLC | Peru, IN | $2 | $2 | $1 | — | $2 | $9 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $2 | $2 | — | — | $0 | $2 |
| 3 | Doylestown Hospital | Doylestown, PA | $5 | $5 | — | — | $1 | $5 |
| 4 | Allina Health Systems | Ulm, MN | $13 | $13 | $1 | — | $6 | $29 |
Ask Claude or any MCP client for NDC 904696661 pricing at a specific hospital — see how to connect.