NDC 55111-0521-30
Reported by 11 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$38
Average
$95
Median
$113
High
$182
| # | 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 | Dignity Health | Phoenix, AZ | $42 | $41 | $15 | — | $8 | $60 |
| 2 | St. Vincent Infirmary Medical Center | Sherwood, AR | $48 | $48 | — | — | $48 | $48 |
| 3 | St Anthony's Hospital Association | Morrilton, AR | $28 | $38 | $16 | — | $27 | $81 |
| 4 | St Vincent Infirmary Medical Center | Little Rock, AR | $48 | $48 | — | — | $48 | $48 |
| 5 | Alegent Creighton Health | Omaha, NE | $117 | $113 | $43 | — | $31 | $165 |
| 6 | Alegent Creighton Health | Papillion, NE | $117 | $113 | $42 | — | $35 | $165 |
| 7 | Alegent Health Bergan Mercy Health System | Omaha, NE | $141 | $118 | $46 | — | $33 | $165 |
| 8 | Alegent Health Immanuel Medical Center | Omaha, NE | $117 | $114 | $42 | — | $27 | $165 |
| 9 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $187 | $182 | $48 | — | $84 | $431 |
| 10 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $117 | $117 | $38 | — | $29 | $165 |
Ask Claude or any MCP client for NDC 55111-0521-30 pricing at a specific hospital — see how to connect.