Reported by 16 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$75
Average
$285
Median
$288
High
$410
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $10 | $56 | $75 | $171 | $36 |
| 2 | Sonora Community Hospital | Sonora, CA | $16 | $255 | $290 | $492 | $101 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $10 | $168 | $236 | $446 | $113 |
| 4 | Adventist Health Delano | Delano, CA | $12 | $200 | $155 | $262 | $87 |
| 5 | Simi Valley Hospital And Health Care Services | Valley, CA | $37 | $254 | $293 | $536 | $125 |
| 6 | Adventist Health Tulare | Tulare, CA | $17 | $256 | $266 | $410 | $114 |
| 7 | Rideout Memorial Hospital | Marysville, CA | $35 | $177 | $188 | $261 | $37 |
| 8 | Reedley Community Hospital | Reedley, CA | $54 | $187 | $259 | $526 | $133 |
| 9 | Adventist Health Clearlake Hospital Inc | Clearlake, CA | $71 | $369 | $410 | $556 | $90 |
| 10 | San Joaquin Community Hospital | Bakersfield, CA | $7 | $267 | $287 | $652 | $189 |
Ask Claude or any MCP client for HCPCS X4102 pricing at a specific hospital — see how to connect.