NDC 67457-0341-05
Reported by 42 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 24–240 billing samples across every hospital reporting.
Low
$0
Average
$83
Median
$28
High
$356
| # | 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 | Saint Luke’s North Hospital | Smithville, MO | $25 | $28 | $6 | 12–120 | $15 | $1.5k |
| 2 | Saint Luke’s North Hospital | City, KS | $25 | $28 | $6 | 12–120 | $15 | $1.5k |
| 3 | Alegent Creighton Health | Omaha, NE | $241 | $234 | $89 | — | $64 | $342 |
| 4 | Alegent Health Memorial Hospital, Schuyler | Schuyler, NE | $386 | $339 | $87 | — | $86 | $455 |
| 5 | Alegent Creighton Health | Plainview, NE | $386 | $356 | $62 | — | $245 | $545 |
| 6 | Alegent Creighton Health | Papillion, NE | $241 | $235 | $87 | — | $72 | $342 |
| 7 | Alegent Health Bergan Mercy Health System | Omaha, NE | $292 | $244 | $95 | — | $68 | $342 |
| 8 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $386 | $328 | $95 | — | $141 | $394 |
| 9 | Alegent Health Immanuel Medical Center | Omaha, NE | $241 | $236 | $87 | — | $56 | $342 |
| 10 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $386 | $328 | $91 | — | $173 | $394 |
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