NDC 00904-5855-61
Reported by 2 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 132–141 billing samples across every hospital reporting.
Low
$8
Average
$14
Median
$14
High
$20
| # | 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 | Childrens Hospital Colorado | Aurora, CO | $8 | $8 | $1 | 132–141 | $0 | $9 |
| 2 | Bellevue Medical Center Llc | Bellevue, NE | $20 | $20 | $17 | — | $1 | $71 |
Ask Claude or any MCP client for NDC 00904-5855-61 pricing at a specific hospital — see how to connect.