Reported by 2 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$40
Average
$80
Median
$80
High
$121
| # | 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 | $7 | $40 | $55 | — | $1 | $171 |
| 2 | White Memorial Medical Center | Angeles, CA | $9 | $121 | $171 | — | $1 | $549 |
Ask Claude or any MCP client for HCPCS X4116 pricing at a specific hospital — see how to connect.