NDC 00904-6667-61
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
$18
Median
$28
High
$29
| # | 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 | $29 | $28 | $11 | — | $8 | $41 |
| 2 | Alegent Creighton Health | Papillion, NE | $29 | $28 | $10 | — | $9 | $41 |
| 3 | Alegent Health Bergan Mercy Health System | Omaha, NE | $35 | $29 | $11 | — | $8 | $41 |
| 4 | Alegent Health Immanuel Medical Center | Omaha, NE | $29 | $28 | $11 | — | $7 | $41 |
| 5 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $29 | $29 | $9 | — | $7 | $41 |
| 6 | Alegent Health Bergan Mercy Health System | Omaha, NE | $29 | $28 | $10 | — | $8 | $41 |
| 7 | Vanderbilt Wilson County Hospital | Lebanon, TN | $0 | $0 | — | — | $0 | $1 |
| 8 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $0 | $0 | — | — | $0 | $1 |
| 9 | Vanderbilt University Medical Center | Nashville, TN | $0 | $0 | — | — | $0 | $1 |
| 10 | Vanderbilt Bedford Hospital | Shelbyville, TN | $0 | $0 | — | — | $0 | $1 |
Ask Claude or any MCP client for NDC 00904-6667-61 pricing at a specific hospital — see how to connect.