NDC 00904-6255-49
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
$9
Average
$46
Median
$39
High
$90
| # | 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 | Glendale Adventist Medical Center | Glendale, CA | $9 | $9 | $3 | — | $3 | $23 |
| 2 | Sierra Vista Hospital Inc | Obispo, CA | $90 | $90 | $74 | — | $4 | $164 |
| 3 | White Memorial Medical Center | Angeles, CA | $39 | $39 | $10 | — | $8 | $113 |
Ask Claude or any MCP client for NDC 00904-6255-49 pricing at a specific hospital — see how to connect.