NDC 63323-0579-01
Reported by 50 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 109–280 billing samples across every hospital reporting.
Low
$39
Average
$192
Median
$193
High
$567
| # | 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 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $220 | $204 | $60 | 44–71 | $47 | $280 |
| 2 | Alegent Creighton Health | Papillion, NE | $225 | $206 | $64 | 32–50 | $57 | $280 |
| 3 | Alegent Health Immanuel Medical Center | Omaha, NE | $225 | $207 | $64 | 21–39 | $44 | $280 |
| 4 | St. Luke's Community Health Services | Spring, TX | $243 | $253 | $97 | 3–30 | $83 | $557 |
| 5 | St. Luke's Community Health Services | The Woodlands, TX | $243 | $253 | $96 | 3–30 | $83 | $557 |
| 6 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $304 | $253 | $77 | 2–20 | $111 | $310 |
| 7 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $304 | $253 | $75 | 2–20 | $130 | $310 |
| 8 | St Joseph Regional Health Center | Bryan, TX | $54 | $53 | $39 | 1–10 | $11 | $189 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE | LAFAYETTE, IN | $581 | $567 | $232 | 1–10 | $229 | $888 |
| 10 | Alegent Creighton Health | Omaha, NE | $225 | $206 | $65 | — | $51 | $280 |
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