NDC 00904-6828-05
Reported by 24 hospitals in the network.
Filter by billing methodology
Based on 1,569–1,740 billing samples across every hospital reporting.
Low
$1
Average
$14
Median
$9
High
$34
| # | 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 | $33 | $33 | $9 | 1,569–1,740 | $5 | $47 |
| 2 | Alegent Creighton Health | Omaha, NE | $5 | $5 | $2 | — | $1 | $7 |
| 3 | Alegent Creighton Health | Papillion, NE | $5 | $5 | $2 | — | $2 | $7 |
| 4 | Alegent Health Bergan Mercy Health System | Omaha, NE | $6 | $5 | $2 | — | $1 | $7 |
| 5 | Alegent Health Immanuel Medical Center | Omaha, NE | $5 | $5 | $2 | — | $1 | $7 |
| 6 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $8 | $8 | $2 | — | $4 | $19 |
| 7 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $5 | $5 | $2 | — | $1 | $7 |
| 8 | Alegent Health Bergan Mercy Health System | Omaha, NE | $5 | $5 | $2 | — | $1 | $7 |
| 9 | Vanderbilt Wilson County Hospital | Lebanon, TN | $2 | $1 | $1 | — | $0 | $4 |
| 10 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $2 | $1 | $1 | — | $0 | $4 |
Ask Claude or any MCP client for NDC 00904-6828-05 pricing at a specific hospital — see how to connect.