NDC 99999-4203-79
Reported by 1 hospital in the network.
Filter by billing methodology
Based on 2–20 billing samples across every hospital reporting.
Low
$465
Average
$465
Median
$465
High
$465
| # | 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 | MaineHealth | Portland, ME | $484 | $465 | $86 | 2–20 | $105 | $529 |
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