NDC 00904-8805-67
Reported by 5 hospitals in the network under the other methodology.
Low
$1
Average
$3
Median
$2
High
$5
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 5.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Brfhh Monroe, Llc | Monroe, LA | $0 | $1 | $1 | — | $0 | $2 |
| 2 | Lafayette General Medical Center Inc | Lafayette, LA | $1 | $1 | $1 | — | $1 | $4 |
| 3 | Kemper CAH, Inc. | DeKalb, MS | $2 | $2 | $0 | — | $1 | $2 |
| 4 | Nebraska Medical Center | Omaha, NE | $4 | $5 | $2 | — | $1 | $11 |
| 5 | Bellevue Medical Center Llc | Bellevue, NE | $4 | $5 | $2 | — | $1 | $11 |
Ask Claude or any MCP client for NDC 00904-8805-67 pricing at a specific hospital — see how to connect.