NDC 00904-6615-61
Reported by 11 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$91
Median
$130
High
$208
| # | 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 | Alegent Creighton Health | Omaha, NE | $133 | $129 | $49 | — | $36 | $189 |
| 2 | Alegent Creighton Health | Papillion, NE | $133 | $130 | $48 | — | $40 | $189 |
| 3 | Alegent Health Bergan Mercy Health System | Omaha, NE | $161 | $135 | $52 | — | $38 | $189 |
| 4 | Alegent Health Immanuel Medical Center | Omaha, NE | $133 | $130 | $48 | — | $31 | $189 |
| 5 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $214 | $208 | $55 | — | $96 | $494 |
| 6 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $133 | $134 | $44 | — | $33 | $189 |
| 7 | Alegent Health Bergan Mercy Health System | Omaha, NE | $133 | $130 | $48 | — | $38 | $189 |
| 8 | Vanderbilt Wilson County Hospital | Lebanon, TN | $0 | $0 | — | — | $0 | $2 |
| 9 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $0 | $0 | — | — | $0 | $2 |
| 10 | Vanderbilt University Medical Center | Nashville, TN | $0 | $0 | — | — | $0 | $2 |
Ask Claude or any MCP client for NDC 00904-6615-61 pricing at a specific hospital — see how to connect.