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
$85
Average
$137
Median
$137
High
$188
| # | 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 | White Memorial Medical Center | Angeles, CA | $118 | $188 | $140 | — | $13 | $549 |
Ask Claude or any MCP client for HCPCS X4120 pricing at a specific hospital — see how to connect.