NDC 67684-2000-07
Reported by 19 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 936 billing samples across every hospital reporting.
Low
$1
Average
$115
Median
$116
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 | $1 | $116 | $207 | 723 | $1 | $658 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | MOORESVILLE, IN | $1 | $50 | $85 | 213 | $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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