NDC 67457-0255-10
Reported by 38 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 132–258 billing samples across every hospital reporting.
Low
$0
Average
$36
Median
$0
High
$281
| # | 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 Community Care | Los Angeles, CA | $5 | $45 | $55 | 63–99 | $0 | $142 |
| 2 | Dignity Health | Sacramento, CA | $0 | $14 | $22 | 37–64 | $0 | $54 |
| 3 | Dignity Health | Santa Cruz, CA | $0 | $56 | $92 | 26–35 | $0 | $224 |
| 4 | Dignity Community Care | Glendale, CA | $6 | $69 | $91 | 3–30 | $0 | $272 |
| 5 | Dignity Health | Santa Maria, CA | $5 | $108 | $128 | 2–20 | $0 | $322 |
| 6 | Memorial Hospital Of Polk County | Livingston, TX | $304 | $281 | $195 | 1–10 | $0 | $570 |
| 7 | Dignity Health | Camarillo, CA | $19 | $33 | $37 | — | $0 | $105 |
| 8 | Dignity Community Care | San Luis Obispo, CA | $48 | $114 | $123 | — | $0 | $322 |
| 9 | Dignity Health | Henderson, NV | $40 | $45 | $34 | — | $0 | $107 |
| 10 | Memorial Medical Center San Augustine | San Augustine, TX | $253 | $268 | $211 | — | $0 | $633 |
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