NDC 69374-0523-21

FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS

Reported by 10 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Based on 4,337–4,373 billing samples across every hospital reporting.

Low

$40

Average

$73

Median

$43

High

$127

#	Hospital	Location
1	Alegent Health Bergan Mercy Health System	Omaha, NE	$2	$41	$48	1,400–1,409	$1	$122
2	Alegent Creighton Health	Omaha, NE	$2	$41	$48	1,190	$1	$122
3	Alegent Health Bergan Mercy Health System	Council Bluffs, IA	$2	$40	$47	883–892	$1	$122
4	Alegent Health Immanuel Medical Center	Omaha, NE	$2	$41	$48	584–593	$1	$122
5	Alegent Creighton Health	Papillion, NE	$2	$41	$47	203	$1	$122
6	Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa	Missouri Valley, IA	$138	$113	$40	40–49	$1	$141
7	Alegent Health - Mercy Hospital, Corning Iowa	Corning, IA	$138	$113	$39	37	$1	$141
8	Alegent Health Memorial Hospital, Schuyler	Schuyler, NE	$138	$122	$31	—	$31	$163
9	Alegent Creighton Health	Plainview, NE	$138	$127	$22	—	$88	$195
10	Alegent Health Bergan Mercy Health System	Omaha, NE	$24	$46	$49	—	$1	$122

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