NDC 00904-6363-61
Reported by 47 hospitals in the network.
Filter by billing methodology
Based on 1,569–1,740 billing samples across every hospital reporting.
Low
$0
Average
$29
Median
$4
High
$234
| # | 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 | $9 | $9 | $3 | 1,569–1,740 | $1 | $30 |
| 2 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $21 | $22 | $10 | — | $6 | $39 |
| 3 | Northwestern Memorial Hospital | Chicago, IL | $18 | $21 | $14 | — | $1 | $39 |
| 4 | Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $24 | $25 | $7 | — | $7 | $36 |
| 5 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $2 | $2 | $1 | — | $1 | $5 |
| 6 | Palos Community Hospital | Palos Heights, IL | $2 | $3 | $1 | — | $1 | $4 |
| 7 | Alegent Creighton Health | Omaha, NE | $150 | $146 | $55 | — | $40 | $213 |
| 8 | Alegent Creighton Health | Papillion, NE | $150 | $146 | $54 | — | $45 | $213 |
| 9 | Alegent Health Bergan Mercy Health System | Omaha, NE | $182 | $152 | $59 | — | $43 | $213 |
| 10 | Alegent Health Immanuel Medical Center | Omaha, NE | $150 | $147 | $54 | — | $35 | $213 |
Ask Claude or any MCP client for NDC 00904-6363-61 pricing at a specific hospital — see how to connect.