NDC 00054-4179-25
Reported by 34 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 122–239 billing samples across every hospital reporting.
Low
$0
Average
$132
Median
$1
High
$4.3k
| # | 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 | Alegent Health Bergan Mercy Health System | Omaha, NE | $0 | $12 | $14 | 55–91 | $0 | $36 |
| 2 | CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $2 | $2 | $2 | 28–46 | $0 | $6 |
| 3 | Alegent Creighton Health | Omaha, NE | $0 | $12 | $14 | 22–31 | $0 | $36 |
| 4 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $0 | $11 | $14 | 12–21 | $0 | $36 |
| 5 | Alegent Health Immanuel Medical Center | Omaha, NE | $0 | $12 | $14 | 2–20 | $0 | $36 |
| 6 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $40 | $33 | $11 | 2–20 | $0 | $41 |
| 7 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $40 | $33 | $12 | 1–10 | $0 | $41 |
| 8 | Lodi Memorial Hospital Association Inc | Lodi, CA | $4 | $4 | $4 | — | $0 | $10 |
| 9 | White Memorial Medical Center | Angeles, CA | $14 | $14 | $10 | — | $0 | $49 |
| 10 | Alegent Health Memorial Hospital, Schuyler | Schuyler, NE | $40 | $35 | $9 | — | $9 | $48 |
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