NDC 00904-6053-61
Reported by 1 hospital in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$41
Average
$41
Median
$41
High
$41
| # | 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 | White Memorial Medical Center | Angeles, CA | $32 | $41 | $20 | — | $8 | $113 |
Ask Claude or any MCP client for NDC 00904-6053-61 pricing at a specific hospital — see how to connect.