NDC 24200-0258-45
Reported by 1 hospital in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 1,287–1,332 billing samples across every hospital reporting.
Low
$73
Average
$73
Median
$73
High
$73
| # | 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 | Dignity Health | San Bernardino, CA | $63 | $73 | $86 | 1,287–1,332 | $1 | $267 |
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