NDC 99999135100
Reported by 1 hospital 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 13 billing samples across every hospital reporting.
Low
$31
Average
$31
Median
$31
High
$31
| # | 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 | Upstate University Hospital | Syracuse, NY | $31 | $31 | — | 13 | $0 | $175 |
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