NDC 68516-5214-02
Reported by 58 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 523–631 billing samples across every hospital reporting.
Low
$29
Average
$168
Median
$170
High
$494
| # | 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 South Hospital, Inc | Overland Park, KS | $131 | $129 | $45 | 500 | $44 | $855 |
| 2 | Dignity Health | Sacramento, CA | $109 | $239 | $221 | 4–40 | $52 | $720 |
| 3 | Dignity Community Care | Sacramento, CA | $100 | $226 | $221 | 2–20 | $52 | $720 |
| 4 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $115 | $188 | $145 | 2–20 | $45 | $474 |
| 5 | Alegent Health Bergan Mercy Health System | Omaha, NE | $115 | $193 | $146 | 2–20 | $45 | $474 |
| 6 | Saint Joseph Health System, Inc | Lexington, KY | $138 | $148 | $78 | 11 | $13 | $298 |
| 7 | Dignity Health | Redding, CA | $110 | $386 | $326 | 1–10 | $53 | $802 |
| 8 | Alegent Health Immanuel Medical Center | Omaha, NE | $115 | $193 | $147 | 1–10 | $45 | $474 |
| 9 | Dignity Community Care | Woodland, CA | $295 | $304 | $239 | — | $53 | $720 |
| 10 | Dignity Health | Folsom, CA | $115 | $241 | $223 | — | $52 | $720 |
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