NDC 00270-1314-30

LOW OSMOLAR CONTRAST MATERIAL, 200-299 MG/ML IODINE CONCENTRATION, PER ML

Reported by 34 hospitals in the network under the fee schedule methodology.

National pricing summary

Based on 27–99 billing samples across every hospital reporting.

Low

Average

$59

Median

$39

High

$166

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects negotiated fee schedule rates with commercial payers.

Price distribution

Fee schedule methodology

Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 34 hospitals; the 90th percentile is 312.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.

Click a bar to filter the hospitals table to that price range.

Highest hospital$166
90th percentile$164
75th percentile$88
Median$39
25th percentile$1
10th percentile$1
Lowest hospital$0

Hospitals reporting NDC 00270-1314-30

#	Hospital	Location
1	Alegent Health Immanuel Medical Center	Omaha, NE	$45	$40	$34	20–29	$0	$85
2	Alegent Creighton Health	Omaha, NE	$40	$39	$34	3–30	$0	$85
3	Alegent Health Bergan Mercy Health System	Council Bluffs, IA	$49	$41	$33	2–20	$0	$85
4	Alegent Health Bergan Mercy Health System	Omaha, NE	$43	$40	$33	2–20	$0	$85
5	Sierra Vista Hospital Inc	Obispo, CA	$39	$38	$4	—	$11	$43
6	Dignity Community Care	Sacramento, CA	$2	$59	$75	—	$0	$178
7	Alegent Health Memorial Hospital, Schuyler	Schuyler, NE	$96	$85	$22	—	$21	$114
8	Alegent Creighton Health	Plainview, NE	$96	$89	$15	—	$61	$136
9	Alegent Creighton Health	Papillion, NE	$40	$39	$33	—	$0	$85
10	Alegent Health Bergan Mercy Health System	Omaha, NE	$60	$47	$32	—	$0	$85

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