NDC 69374-0957-10
Reported by 3 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 1–10 billing samples across every hospital reporting.
Low
$16
Average
$102
Median
$41
High
$251
| # | 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 | UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $251 | $251 | — | 1–10 | $25 | $48 |
| 2 | Nebraska Medical Center | Omaha, NE | $13 | $16 | $7 | — | $0 | $33 |
| 3 | Bellevue Medical Center Llc | Bellevue, NE | $44 | $41 | $32 | — | $0 | $140 |
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