NDC 00904-6509-04
Reported by 2 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
$141
Average
$192
Median
$192
High
$242
| # | 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 | $243 | $242 | $84 | — | $73 | $608 |
| 2 | White Memorial Medical Center | Angeles, CA | $141 | $141 | $37 | — | $28 | $407 |
Ask Claude or any MCP client for NDC 00904-6509-04 pricing at a specific hospital — see how to connect.