NDC 99999-4203-79
Reported by 1 hospital in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$105
Average
$105
Median
$105
High
$105
| # | 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 | $105 | $105 | — | — | $105 | $529 |
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