NDC 69238-1273-06
Reported by 13 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$8
Average
$198
Median
$215
High
$324
| # | 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 | Santa Maria, CA | $25 | $23 | $5 | — | $13 | $28 |
| 2 | Alegent Creighton Health | Omaha, NE | $220 | $213 | $81 | — | $59 | $312 |
| 3 | Alegent Health Memorial Hospital, Schuyler | Schuyler, NE | $352 | $310 | $79 | — | $79 | $415 |
| 4 | Alegent Creighton Health | Plainview, NE | $352 | $324 | $56 | — | $224 | $497 |
| 5 | Alegent Creighton Health | Papillion, NE | $220 | $214 | $79 | — | $66 | $312 |
| 6 | Alegent Health Bergan Mercy Health System | Omaha, NE | $266 | $222 | $86 | — | $62 | $312 |
| 7 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $352 | $299 | $87 | — | $128 | $359 |
| 8 | Alegent Health Immanuel Medical Center | Omaha, NE | $220 | $215 | $80 | — | $51 | $312 |
| 9 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $352 | $299 | $83 | — | $158 | $359 |
| 10 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $220 | $220 | $72 | — | $55 | $312 |
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