NDC 00004-1965-01
Reported by 3 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$67
Average
$99
Median
$80
High
$150
| # | 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 | Castle Medical Center | Kailua, HI | $67 | $67 | — | — | $0 | $67 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $150 | $150 | $52 | — | $6 | $349 |
| 3 | White Memorial Medical Center | Angeles, CA | $80 | $80 | $21 | — | $1 | $230 |
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