NDC 00264-4204-52
Reported by 31 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 404–728 billing samples across every hospital reporting.
Low
$1
Average
$10
Median
$3
High
$102
| # | 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 | Dignity Health | Carmichael, CA | $1 | $13 | $18 | 248–320 | $1 | $51 |
| 2 | CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $10 | $11 | $8 | 86–140 | $1 | $23 |
| 3 | Dignity Health | Sacramento, CA | $1 | $14 | $19 | 50–68 | $0 | $49 |
| 4 | Dignity Health | Folsom, CA | $1 | $13 | $20 | 10–100 | $0 | $50 |
| 5 | Dignity Community Care | Woodland, CA | $12 | $22 | $22 | 9–90 | $1 | $61 |
| 6 | Dignity Health | Mt Shasta, CA | $87 | $70 | $34 | 1–10 | $5 | $104 |
| 7 | White Memorial Medical Center | Angeles, CA | $109 | $102 | $82 | — | $1 | $383 |
| 8 | Saint Alphonsus Medical Center - Nampa | Nampa, ID | $2 | $2 | — | — | $2 | $15 |
| 9 | Vanderbilt Wilson County Hospital | Lebanon, TN | $2 | $3 | $1 | — | $2 | $133 |
| 10 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $2 | $3 | $1 | — | $2 | $133 |
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