NDC 25021-0806-01
Reported by 89 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 165–669 billing samples across every hospital reporting.
Low
$1
Average
$11
Median
$2
High
$84
| # | 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 | Carmichael, CA | $5 | $13 | $14 | 44–80 | $0 | $42 |
| 2 | Dignity Health | Sacramento, CA | $5 | $15 | $16 | 35–80 | $0 | $40 |
| 3 | St. Lukes Hospital At The Vintage | Houston, TX | $27 | $27 | $15 | 8–80 | $2 | $70 |
| 4 | Chi St. Luke's Health Baylor College Of Medicine Medical Center | Houston, TX | $28 | $27 | $15 | 8–80 | $2 | $70 |
| 5 | Dignity Health | Gilbert, AZ | $3 | $16 | $21 | 25–61 | $1 | $63 |
| 6 | Dignity Health | Folsom, CA | $4 | $13 | $15 | 6–60 | $0 | $41 |
| 7 | Dignity Community Care | Chandler, AZ | $5 | $17 | $23 | 19–28 | $1 | $69 |
| 8 | Dignity Community Care | Woodland, CA | $15 | $20 | $17 | 4–40 | $2 | $50 |
| 9 | Dignity Health | Phoenix, AZ | $16 | $14 | $11 | 3–30 | $1 | $31 |
| 10 | Saint Luke’s East Hospital | Summit, MO | $1 | $2 | $0 | 3–30 | $1 | $120 |
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