NDC 00904-6509-04
Reported by 10 hospitals in the network under the case rate methodology.
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Low
$43
Average
$79
Median
$58
High
$182
| # | 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 | Ukiah Adventist Hospital | Ukiah, CA | $45 | $44 | $2 | — | $41 | $107 |
| 2 | Sonora Community Hospital | Sonora, CA | $119 | $115 | $6 | — | $90 | $267 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $131 | $126 | $6 | — | $73 | $608 |
| 4 | Simi Valley Hospital And Health Care Services | Valley, CA | $45 | $43 | $2 | — | $28 | $115 |
| 5 | Adventist Health Tulare | Tulare, CA | $45 | $45 | $2 | — | $30 | $124 |
| 6 | Reedley Community Hospital | Reedley, CA | $59 | $57 | $3 | — | $51 | $164 |
| 7 | San Joaquin Community Hospital | Bakersfield, CA | $69 | $67 | $3 | — | $50 | $200 |
| 8 | Hanford Community Hospital | Hanford, CA | $61 | $59 | $3 | — | $44 | $204 |
| 9 | White Memorial Medical Center | Angeles, CA | $52 | $51 | $2 | — | $28 | $407 |
| 10 | St Helena Hospital | Helena, CA | $188 | $182 | $9 | — | $113 | $255 |
Ask Claude or any MCP client for NDC 00904-6509-04 pricing at a specific hospital — see how to connect.