NDC 70004-0103-21
Reported by 2 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Based on 1,152–1,278 billing samples across every hospital reporting.
Low
$22
Average
$22
Median
$22
High
$23
| # | 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 | Long Beach, CA | $10 | $22 | $25 | 792–846 | $2 | $99 |
| 2 | Dignity Health | Santa Cruz, CA | $7 | $23 | $26 | 360–432 | $1 | $69 |
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