NDC 00904-6467-07
Reported by 20 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$253
Median
$147
High
$814
| # | 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 | Sonora Community Hospital | Sonora, CA | $122 | $130 | $18 | — | $54 | $160 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $161 | $205 | $88 | — | $46 | $380 |
| 3 | Simi Valley Hospital And Health Care Services | Valley, CA | $61 | $61 | — | — | $15 | $61 |
| 4 | Adventist Health Tulare | Tulare, CA | $116 | $123 | $13 | — | $33 | $138 |
| 5 | Rideout Memorial Hospital | Marysville, CA | $150 | $159 | $31 | — | $95 | $221 |
| 6 | San Joaquin Community Hospital | Bakersfield, CA | $87 | $90 | $11 | — | $26 | $106 |
| 7 | Hanford Community Hospital | Hanford, CA | $109 | $111 | $25 | — | $30 | $140 |
| 8 | White Memorial Medical Center | Angeles, CA | $111 | $139 | $68 | — | $26 | $388 |
| 9 | St Helena Hospital | Helena, CA | $154 | $154 | — | — | $68 | $154 |
| 10 | Alegent Creighton Health | Omaha, NE | $522 | $505 | $192 | — | $139 | $739 |
Ask Claude or any MCP client for NDC 00904-6467-07 pricing at a specific hospital — see how to connect.