NDC 64764-0800-28
Reported by 15 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$6.0k
Median
$2.2k
High
$17.9k
| # | 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 | $546 | $450 | $284 | — | $9 | $814 |
| 2 | Alegent Creighton Health | Omaha, NE | $11.5k | $11.1k | $4.2k | — | $3.1k | $16.3k |
| 3 | Alegent Creighton Health | Papillion, NE | $11.5k | $11.2k | $4.1k | — | $3.4k | $16.3k |
| 4 | Alegent Health Bergan Mercy Health System | Omaha, NE | $13.9k | $11.6k | $4.5k | — | $3.3k | $16.3k |
| 5 | Alegent Health Immanuel Medical Center | Omaha, NE | $11.5k | $11.2k | $4.2k | — | $2.7k | $16.3k |
| 6 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $18.4k | $17.9k | $4.7k | — | $8.2k | $42.5k |
| 7 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $11.5k | $11.5k | $3.7k | — | $2.9k | $16.3k |
| 8 | Alegent Health Bergan Mercy Health System | Omaha, NE | $11.5k | $11.2k | $4.1k | — | $3.3k | $16.3k |
| 9 | Geisinger Medical Center | Danville, PA | $1 | $1 | $0 | — | $1 | $2.1k |
| 10 | Vanderbilt Wilson County Hospital | Lebanon, TN | $0 | $0 | — | — | $0 | $281 |
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