NDC 69374-0920-05
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 1,142–1,250 billing samples across every hospital reporting.
Low
$6
Average
$73
Median
$76
High
$183
| # | 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 Health Immanuel Medical Center | Omaha, NE | $93 | $81 | $69 | 574–583 | $0 | $176 |
| 2 | Alegent Health Bergan Mercy Health System | Omaha, NE | $88 | $81 | $69 | 245 | $0 | $176 |
| 3 | Alegent Creighton Health | Omaha, NE | $83 | $81 | $69 | 150 | $0 | $176 |
| 4 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $77 | $76 | $70 | 99 | $0 | $176 |
| 5 | Dignity Health | Carmichael, CA | $5 | $13 | $16 | 52–88 | $1 | $46 |
| 6 | Alegent Creighton Health | Papillion, NE | $83 | $81 | $69 | 16–25 | $0 | $176 |
| 7 | Dignity Health | Folsom, CA | $3 | $14 | $18 | 2–20 | $1 | $46 |
| 8 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $198 | $162 | $57 | 2–20 | $1 | $203 |
| 9 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $198 | $162 | $56 | 2–20 | $1 | $203 |
| 10 | Dignity Health | Red Bluff, CA | $59 | $58 | $20 | — | $6 | $79 |
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