NDC 25021-0053-01
Reported by 3 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$0
Average
$88
Median
$126
High
$136
| # | 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 | Nebraska Medical Center | Omaha, NE | $112 | $136 | $58 | — | $0 | $337 |
| 2 | Bellevue Medical Center Llc | Bellevue, NE | $112 | $126 | $55 | — | $0 | $337 |
| 3 | St. Lukes Hospital of Kansas City | City, KS | $0 | $0 | $0 | — | $0 | $31 |
Ask Claude or any MCP client for NDC 25021-0053-01 pricing at a specific hospital — see how to connect.