NDC 00093-4161-73
Reported by 3 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$2
Average
$73
Median
$16
High
$202
| # | 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 | Portland Adventist Medical Center | Portland, OR | $175 | $202 | $97 | — | $10 | $381 |
| 2 | Nebraska Medical Center | Omaha, NE | $2 | $2 | $0 | — | $0 | $4 |
| 3 | Bellevue Medical Center Llc | Bellevue, NE | $14 | $16 | $14 | — | $0 | $56 |
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