NDC 00904-5921-61
Reported by 12 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$141
Median
$219
High
$351
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Alegent Creighton Health | Omaha, NE | $60 | $225 | $218 | $319 | $83 |
| 2 | Alegent Creighton Health | Papillion, NE | $68 | $225 | $219 | $319 | $81 |
| 3 | Alegent Health Bergan Mercy Health System | Omaha, NE | $64 | $272 | $228 | $319 | $89 |
| 4 | Alegent Health Immanuel Medical Center | Omaha, NE | $53 | $225 | $220 | $319 | $82 |
| 5 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $162 | $361 | $351 | $834 | $92 |
| 6 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $56 | $225 | $226 | $319 | $74 |
| 7 | Alegent Health Bergan Mercy Health System | Omaha, NE | $64 | $225 | $220 | $319 | $81 |
| 8 | Vanderbilt Wilson County Hospital | Lebanon, TN | $1 | $0 | $0 | $2 | — |
| 9 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1 | $0 | $0 | $2 | — |
| 10 | Vanderbilt University Medical Center | Nashville, TN | $1 | $0 | $0 | $2 | — |
Ask Claude or any MCP client for NDC 00904-5921-61 pricing at a specific hospital — see how to connect.