NDC 00904-6635-61
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
$129
Median
$185
High
$296
| # | 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 | $190 | $184 | $70 | — | $51 | $269 |
| 2 | Alegent Creighton Health | Papillion, NE | $190 | $185 | $68 | — | $57 | $269 |
| 3 | Alegent Health Bergan Mercy Health System | Omaha, NE | $229 | $192 | $75 | — | $54 | $269 |
| 4 | Alegent Health Immanuel Medical Center | Omaha, NE | $190 | $185 | $69 | — | $44 | $269 |
| 5 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $304 | $296 | $78 | — | $136 | $702 |
| 6 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $190 | $190 | $62 | — | $47 | $269 |
| 7 | Alegent Health Bergan Mercy Health System | Omaha, NE | $190 | $185 | $68 | — | $54 | $269 |
| 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 00904-6635-61 pricing at a specific hospital — see how to connect.