NDC 00904-7728-61
Reported by 13 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$70
Median
$111
High
$179
| # | 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 | $115 | $111 | $42 | — | $31 | $163 |
| 2 | Alegent Creighton Health | Papillion, NE | $115 | $112 | $41 | — | $34 | $163 |
| 3 | Alegent Health Bergan Mercy Health System | Omaha, NE | $139 | $116 | $45 | — | $33 | $163 |
| 4 | Alegent Health Immanuel Medical Center | Omaha, NE | $115 | $112 | $42 | — | $27 | $163 |
| 5 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $184 | $179 | $47 | — | $82 | $424 |
| 6 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $115 | $115 | $37 | — | $29 | $163 |
| 7 | Alegent Health Bergan Mercy Health System | Omaha, NE | $115 | $112 | $41 | — | $33 | $163 |
| 8 | Vanderbilt Wilson County Hospital | Lebanon, TN | $0 | $0 | — | — | $0 | $1 |
| 9 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $0 | $0 | — | — | $0 | $1 |
| 10 | Vanderbilt University Medical Center | Nashville, TN | $0 | $0 | — | — | $0 | $1 |
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