NDC 59651-0781-01
Reported by 3 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$11
Median
$17
High
$17
| # | 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 | $15 | $17 | $12 | — | $1 | $53 |
| 2 | Bellevue Medical Center Llc | Bellevue, NE | $15 | $17 | $12 | — | $1 | $53 |
| 3 | Good Samaritan Hospital | Lebanon, PA | $0 | $0 | — | — | $0 | $2 |
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