NDC 00003-0894-21
Reported by 6 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 261–288 billing samples across every hospital reporting.
Low
$16
Average
$47
Median
$35
High
$100
| # | 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 | Childrens Hospital Colorado | Aurora, CO | $9 | $16 | $9 | 261–288 | $7 | $63 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $101 | $100 | $35 | — | $30 | $251 |
| 3 | Sierra Vista Hospital Inc | Obispo, CA | $39 | $39 | — | — | $10 | $39 |
| 4 | White Memorial Medical Center | Angeles, CA | $65 | $65 | $17 | — | $13 | $188 |
| 5 | Nebraska Medical Center | Omaha, NE | $26 | $32 | $14 | — | $7 | $68 |
| 6 | Bellevue Medical Center Llc | Bellevue, NE | $26 | $29 | $13 | — | $5 | $68 |
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