NDC 58914-0080-52
Reported by 113 hospitals in the network under the fee schedule methodology.
Based on 89–359 billing samples across every hospital reporting.
Low
$11
Average
$148
Median
$59
High
$4.3k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 113 hospitals; the 90th percentile is 15.2× 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 | Dignity Health | Sacramento, CA | $42 | $62 | $42 | 6–60 | $14 | $137 |
| 2 | Dignity Community Care | Sacramento, CA | $42 | $65 | $44 | 28 | $14 | $142 |
| 3 | Alegent Creighton Health | Omaha, NE | $52 | $125 | $115 | 18–27 | $17 | $327 |
| 4 | Alegent Health Bergan Mercy Health System | Omaha, NE | $52 | $126 | $115 | 15–24 | $17 | $327 |
| 5 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $52 | $122 | $114 | 3–30 | $17 | $327 |
| 6 | Dignity Community Care | Northridge, CA | $43 | $65 | $53 | 2–20 | $17 | $214 |
| 7 | Dignity Community Care | Los Angeles, CA | $76 | $97 | $79 | 2–20 | $16 | $239 |
| 8 | Dignity Health | Folsom, CA | $42 | $57 | $44 | 2–20 | $14 | $140 |
| 9 | Dignity Health | Carmichael, CA | $42 | $58 | $42 | 2–20 | $14 | $142 |
| 10 | Alegent Creighton Health | Papillion, NE | $52 | $125 | $115 | 2–20 | $17 | $327 |
Ask Claude or any MCP client for NDC 58914-0080-52 pricing at a specific hospital — see how to connect.