Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LOCM .> = 400 MG/ML 1 ML
Low
$0
Average
$14
Median
$4
High
$112
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 79.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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24 hospital rates
iThe hospitals that file a Kaiser rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | KAISER FOUNDATION HOSPITAL - SAN JOSE SAN JOSE, CA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 27% | — | $1 – $1 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 2 | $1 | $1 | $0 | 32% | — | $0 – $1 |
| 7 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 2 | $0 | $0 | $0 | 15% | — | $0 – $1 |
| 8 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 2 | $0 | $0 | $0 | 15% | — | $0 – $1 |
| 9 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 2 | $30 | $45 | $46 | 101% | — | $0 – $137 |
| 10 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 2 | $1 | $1 | $0 | 32% | — | $0 – $1 |
| 11 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 2 | $37 | $57 | $62 | 109% | — | $0 – $200 |
| 12 | DIGNITY HEALTH Santa Cruz, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · inpatient | 2 | $54 | $112 | $110 | 98% | — | $17 – $267 |
| 15 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 2 | $54 | $112 | $110 | 98% | — | $17 – $267 |
| 16 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES Valley, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | ST HELENA HOSPITAL Vallejo, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $1 | 14% | — | $4 – $6 |
| 22 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 6% | — | $3 – $4 |
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