NDC 59762-3304-03
Reported by 14 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$12
Median
$6
High
$44
| # | 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 | Yavapai Community Hospital Association | Prescott, AZ | $61 | $44 | $26 | — | $10 | $69 |
| 2 | Chi Memorial Hospital - Georgia | Ringgold, GA | $6 | $5 | $2 | — | $1 | $7 |
| 3 | Memorial Health Care System Inc. | Hixson, TN | $9 | $7 | $2 | — | $2 | $9 |
| 4 | Memorial Health Care System Inc. | Chattanooga, TN | $9 | $7 | $2 | — | $2 | $9 |
| 5 | Saint Francis Medical Center | Grand Island, NE | $0 | $0 | $0 | — | $0 | $0 |
| 6 | St. Mary's Community Hospital | Nebraska City, NE | $0 | $0 | $0 | — | $0 | $0 |
| 7 | Saint Elizabeth Regional Medical Center | Lincoln, NE | $0 | $0 | $0 | — | $0 | $0 |
| 8 | Nebraska Heart Hospital | Lincoln, NE | $0 | $0 | $0 | — | $0 | $0 |
| 9 | Good Samaritan Hospital | Kearney, NE | $0 | $0 | $0 | — | $0 | $0 |
| 10 | St. Alexius Medical Center | Bismarck, ND | $0 | $0 | $0 | — | $0 | $0 |
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