NDC 25021-0111-99
Reported by 55 hospitals in the network under the fee schedule methodology.
Low
$4
Average
$22
Median
$7
High
$626
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 55 hospitals; the 90th percentile is 3.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Kaiser Foundation Hospital - Los Angeles | LOS ANGELES, CA | $5 | $6 | $2 | — | $5 | $9 |
| 2 | Kaiser Foundation Hospital - Fontana | FONTANA, CA | $5 | $6 | $2 | — | $5 | $9 |
| 3 | Kaiser Foundation Hospital - Baldwin Park | BALDWIN PARK, CA | $5 | $6 | $2 | — | $5 | $9 |
| 4 | Kaiser Foundation Hospital - Downey | Downey, CA | $5 | $6 | $2 | — | $5 | $9 |
| 5 | Kaiser Foundation Hospital - Riverside | RIVERSIDE, CA | $5 | $6 | $2 | — | $5 | $9 |
| 6 | Kaiser Foundation Hospital - West La | LOS ANGELES, CA | $5 | $6 | $2 | — | $5 | $9 |
| 7 | Kaiser Foundation Hospital - Orange County - Anaheim | Anaheim, CA | $5 | $6 | $2 | — | $5 | $9 |
| 8 | Kaiser Foundation Hospital - South Bay | HARBOR CITY, CA | $5 | $6 | $2 | — | $5 | $9 |
| 9 | Kaiser Foundation Hospital - Woodland Hills | WOODLAND HILLS, CA | $5 | $6 | $2 | — | $5 | $9 |
| 10 | Kaiser Foundation Hospital - San Diego - Zion | SAN DIEGO, CA | $5 | $6 | $2 | — | $5 | $9 |
Ask Claude or any MCP client for NDC 25021-0111-99 pricing at a specific hospital — see how to connect.