NDC 58160-0842-11
Reported by 4 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
$155
Average
$430
Median
$424
High
$717
| # | 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 | Castle Medical Center | Kailua, HI | $379 | $379 | — | — | $4 | $379 |
| 2 | Glendale Adventist Medical Center | Glendale, CA | $719 | $717 | $250 | — | $56 | $1.0k |
| 3 | White Memorial Medical Center | Angeles, CA | $155 | $155 | $40 | — | $29 | $447 |
| 4 | Nebraska Medical Center | Omaha, NE | $388 | $470 | $202 | — | $31 | $1.0k |
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