NDC 00121-1775-05
Reported by 4 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 4–40 billing samples across every hospital reporting.
Low
$5
Average
$9
Median
$9
High
$12
| # | 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 | Uchmhs | Colorado Springs, CO | $12 | $12 | $10 | 2–20 | $1 | $22 |
| 2 | Uchmhs | Colorado Springs, CO | $12 | $12 | $10 | 2–20 | $1 | $22 |
| 3 | Nebraska Medical Center | Omaha, NE | $6 | $5 | $4 | — | $1 | $17 |
| 4 | Bellevue Medical Center Llc | Bellevue, NE | $6 | $5 | $4 | — | $1 | $17 |
Ask Claude or any MCP client for NDC 00121-1775-05 pricing at a specific hospital — see how to connect.