NDC 00904-6509-04
Reported by 17 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$0
Average
$146
Median
$139
High
$351
| # | 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 | $107 | $107 | — | — | $41 | $107 |
| 2 | Sonora Community Hospital | Sonora, CA | $203 | $217 | $30 | — | $90 | $267 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $258 | $328 | $141 | — | $73 | $608 |
| 4 | Simi Valley Hospital And Health Care Services | Valley, CA | $115 | $115 | — | — | $28 | $115 |
| 5 | Adventist Health Tulare | Tulare, CA | $104 | $110 | $12 | — | $30 | $124 |
| 6 | Rideout Memorial Hospital | Marysville, CA | $238 | $253 | $50 | — | $151 | $351 |
| 7 | Reedley Community Hospital | Reedley, CA | $133 | $139 | $14 | — | $51 | $164 |
| 8 | San Joaquin Community Hospital | Bakersfield, CA | $164 | $169 | $21 | — | $50 | $200 |
| 9 | Adventist Health Mendocino Coast | Bragg, CA | $125 | $125 | $62 | — | $24 | $187 |
| 10 | Lodi Memorial Hospital Association Inc | Lodi, CA | $339 | $351 | $49 | — | $79 | $433 |
Ask Claude or any MCP client for NDC 00904-6509-04 pricing at a specific hospital — see how to connect.