NDC 69339-0137-01
Reported by 48 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 131–275 billing samples across every hospital reporting.
Low
$6
Average
$53
Median
$15
High
$174
| # | 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 | Alegent Creighton Health | Omaha, NE | $19 | $53 | $47 | 54–63 | $5 | $136 |
| 2 | Alegent Health Bergan Mercy Health System | Omaha, NE | $19 | $53 | $47 | 23–41 | $5 | $136 |
| 3 | Alegent Creighton Health | Papillion, NE | $19 | $53 | $47 | 16–25 | $5 | $136 |
| 4 | Alegent Health Immanuel Medical Center | Omaha, NE | $19 | $53 | $47 | 16–25 | $5 | $136 |
| 5 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $154 | $126 | $44 | 12–21 | $7 | $157 |
| 6 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $19 | $51 | $47 | 3–30 | $5 | $136 |
| 7 | St. Lukes Hospital At The Vintage | Houston, TX | $92 | $88 | $47 | 2–20 | $7 | $188 |
| 8 | St. Luke's Community Health Services | Spring, TX | $91 | $87 | $47 | 1–10 | $7 | $188 |
| 9 | St Lukes Community Development Corporation - Sugar Land | Sugar Land, TX | $92 | $88 | $47 | 1–10 | $7 | $188 |
| 10 | St Luke's Lakeside Hospital, Llc | The Woodlands, TX | $90 | $86 | $47 | 1–10 | $7 | $188 |
Ask Claude or any MCP client for NDC 69339-0137-01 pricing at a specific hospital — see how to connect.