NDC 00904-6797-61
Reported by 5 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 136–181 billing samples across every hospital reporting.
Low
$5
Average
$9
Median
$9
High
$12
| # | 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 | $8 | $8 | $1 | 132–141 | $1 | $12 |
| 2 | Uchmhs | Colorado Springs, CO | $12 | $12 | $10 | 2–20 | $0 | $1 |
| 3 | Uchmhs | Colorado Springs, CO | $12 | $12 | $10 | 2–20 | $0 | $1 |
| 4 | Nebraska Medical Center | Omaha, NE | $4 | $5 | $2 | — | $1 | $10 |
| 5 | Bellevue Medical Center Llc | Bellevue, NE | $10 | $9 | $6 | — | $1 | $28 |
Ask Claude or any MCP client for NDC 00904-6797-61 pricing at a specific hospital — see how to connect.