NDC 76204-0011-11
Reported by 2 hospitals in the network under the other methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$3
Average
$4
Median
$4
High
$5
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Carle BroMenn Medical Center | Normal, IL | $3 | $3 | — | 1–10 | $0 | $3 |
| 2 | Nebraska Medical Center | Omaha, NE | $4 | $5 | $2 | — | $0 | $11 |
Ask Claude or any MCP client for NDC 76204-0011-11 pricing at a specific hospital — see how to connect.