NDC 00409-3213-12
Reported by 75 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 113–302 billing samples across every hospital reporting.
Low
$3
Average
$123
Median
$15
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 | Dignity Health | Phoenix, AZ | $39 | $37 | $24 | 30–57 | $7 | $73 |
| 2 | Good Samaritan Hospital | Kearney, NE | $3 | $4 | $4 | 28–37 | $1 | $18 |
| 3 | Saint Francis Medical Center | Grand Island, NE | $3 | $4 | $4 | 26–35 | $1 | $18 |
| 4 | Dignity Community Care | Glendale, CA | $27 | $56 | $57 | 5–50 | $8 | $188 |
| 5 | Saint Elizabeth Regional Medical Center | Lincoln, NE | $3 | $4 | $4 | 14–23 | $1 | $18 |
| 6 | Dignity Community Care | Sacramento, CA | $14 | $29 | $25 | 3–30 | $6 | $76 |
| 7 | Dignity Community Care | San Luis Obispo, CA | $45 | $85 | $79 | 2–20 | $10 | $222 |
| 8 | Dignity Health | San Bernardino, CA | $26 | $36 | $30 | 2–20 | $6 | $106 |
| 9 | Nebraska Heart Hospital | Lincoln, NE | $3 | $5 | $5 | 1–10 | $1 | $18 |
| 10 | Garrison Memorial Hospital | Garrison, ND | $3 | $3 | $1 | 1–10 | $2 | $4 |
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