Reported by 5 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$21
Average
$64
Median
$33
High
$119
| # | 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 | $28 | $28 | $15 | — | $13 | $171 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $26 | $21 | $16 | — | $4 | $446 |
| 3 | Simi Valley Hospital And Health Care Services | Valley, CA | $36 | $33 | $14 | — | $11 | $536 |
| 4 | St Helena Hospital | Helena, CA | $119 | $119 | $52 | — | $47 | $447 |
| 5 | Willits Hospital Inc | Willits, CA | $148 | $119 | $52 | — | $40 | $598 |
Ask Claude or any MCP client for HCPCS X4104 pricing at a specific hospital — see how to connect.