Reported by 6 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$31
Average
$220
Median
$247
High
$391
| # | 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 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $69 | $85 | $33 | — | $13 | $171 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $154 | $200 | $129 | — | $4 | $446 |
| 3 | Simi Valley Hospital And Health Care Services | Valley, CA | $254 | $293 | $125 | — | $11 | $536 |
| 4 | St Helena Hospital | Helena, CA | $297 | $322 | $67 | — | $47 | $447 |
| 5 | Willits Hospital Inc | Willits, CA | $334 | $391 | $141 | — | $40 | $598 |
| 6 | Paradise Valley Hospital | City, CA | $30 | $31 | $2 | — | $30 | $289 |
Ask Claude or any MCP client for HCPCS X4104 pricing at a specific hospital — see how to connect.