NDC 67684-2000-07
Reported by 19 hospitals in the network.
Filter by billing methodology
Based on 1,474 billing samples across every hospital reporting.
Low
$51
Average
$123
Median
$125
High
$256
| # | 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | INDIANAPOLIS, IN | $7 | $51 | $104 | 1,201 | $1 | $658 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | MOORESVILLE, IN | $8 | $53 | $72 | 273 | $1 | $197 |
| 3 | Dignity Community Care | Chandler, AZ | $100 | $231 | $314 | — | $0 | $932 |
| 4 | Dignity Health | Folsom, CA | $94 | $179 | $183 | — | $0 | $428 |
| 5 | Sierra Nevada Memorial-miners Hospital | Grass Valley, CA | $352 | $256 | $187 | — | $0 | $448 |
| 6 | Dignity Health | Gilbert, AZ | $51 | $211 | $292 | — | $0 | $854 |
| 7 | Dignity Health | Carmichael, CA | $94 | $175 | $179 | — | $0 | $433 |
| 8 | Alegent Creighton Health | Omaha, NE | $61 | $60 | $52 | — | $0 | $130 |
| 9 | Alegent Health Memorial Hospital, Schuyler | Schuyler, NE | $147 | $129 | $33 | — | $33 | $174 |
| 10 | Alegent Creighton Health | Plainview, NE | $147 | $136 | $24 | — | $94 | $208 |
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