NDC 00904-3854-61
Reported by 9 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$39
Median
$2
High
$291
| # | 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 | $254 | $291 | $143 | — | $2 | $553 |
| 2 | Commonspirit Oregon | Pendleton, OR | $14 | $12 | $3 | — | $5 | $14 |
| 3 | Vanderbilt Wilson County Hospital | Lebanon, TN | $0 | $0 | — | — | $0 | $1 |
| 4 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $0 | $0 | — | — | $0 | $1 |
| 5 | Vanderbilt University Medical Center | Nashville, TN | $0 | $0 | — | — | $0 | $1 |
| 6 | Vanderbilt Bedford Hospital | Shelbyville, TN | $0 | $0 | — | — | $0 | $1 |
| 7 | Nebraska Medical Center | Omaha, NE | $25 | $25 | $3 | — | $5 | $47 |
| 8 | Bellevue Medical Center Llc | Bellevue, NE | $16 | $17 | $8 | — | $2 | $47 |
| 9 | Good Samaritan Hospital | Lebanon, PA | $2 | $2 | — | — | $2 | $8 |
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