NDC 00338-1077-02
Reported by 51 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 14–140 billing samples across every hospital reporting.
Low
$4
Average
$76
Median
$57
High
$494
| # | 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 | St. Luke's Community Health Services | Spring, TX | $54 | $59 | $36 | 4–40 | $3 | $164 |
| 2 | St. Luke's Community Health Services | The Woodlands, TX | $54 | $59 | $36 | 4–40 | $3 | $164 |
| 3 | Dignity Health | Santa Cruz, CA | $18 | $54 | $62 | 3–30 | $6 | $167 |
| 4 | Dignity Health | San Bernardino, CA | $29 | $39 | $32 | 2–20 | $8 | $114 |
| 5 | Dignity Community Care | Los Angeles, CA | $37 | $45 | $36 | 1–10 | $5 | $106 |
| 6 | Northwest Medical Foundation Of Tillamook | Tillamook, OR | $121 | $121 | — | — | $57 | $121 |
| 7 | Ukiah Adventist Hospital | Ukiah, CA | $59 | $69 | $52 | — | $16 | $153 |
| 8 | Sonora Community Hospital | Sonora, CA | $552 | $386 | $302 | — | $18 | $770 |
| 9 | Glendale Adventist Medical Center | Glendale, CA | $412 | $312 | $301 | — | $10 | $958 |
| 10 | Simi Valley Hospital And Health Care Services | Valley, CA | $30 | $66 | $84 | — | $22 | $255 |
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