NDC 42023-0104-01
Reported by 59 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 16–160 billing samples across every hospital reporting.
Low
$0
Average
$138
Median
$36
High
$1.6k
| # | 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 | Prisma Health Greenville Memorial Hospital | GREENVILLE, SC | $133 | $168 | $135 | 8–80 | $23 | $899 |
| 2 | Prisma Health Baptist Easley Hospital | EASLEY, SC | $133 | $168 | $135 | 8–80 | $23 | $899 |
| 3 | Castle Medical Center | Kailua, HI | $63 | $63 | $12 | — | $13 | $89 |
| 4 | Adventist Health Delano | Delano, CA | $53 | $56 | $7 | — | $12 | $69 |
| 5 | Adventist Health Tulare | Tulare, CA | $113 | $120 | $13 | — | $33 | $135 |
| 6 | Rideout Memorial Hospital | Marysville, CA | $78 | $84 | $9 | — | $55 | $96 |
| 7 | Adventist Health Mendocino Coast | Bragg, CA | $94 | $94 | $47 | — | $18 | $142 |
| 8 | Lodi Memorial Hospital Association Inc | Lodi, CA | $312 | $324 | $46 | — | $73 | $399 |
| 9 | Hanford Community Hospital | Hanford, CA | $131 | $133 | $30 | — | $36 | $168 |
| 10 | White Memorial Medical Center | Angeles, CA | $70 | $87 | $42 | — | $16 | $244 |
Ask Claude or any MCP client for NDC 42023-0104-01 pricing at a specific hospital — see how to connect.