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HCPCS 95864
HC NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS CDM - as described in hospitals' own price files.
9hospitals publishing a price
$570median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Swedish Medical Center / Cherry Hill | Seattle, WA | $248 | - | $517 | - |
| Swedish Issaquah | Issaquah, WA | $248 | - | $517 | - |
| Providence St. Joseph Medical Center | Polson, MT | $330 | - | $412 | - |
| Providence Regional Medical Center Everett | Everett, WA | $396 | - | $762 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $570 | - | $1,630 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $570 | - | $1,630 | - |
| Covenant Medical Center | Lubbock, TX | $1,516 | - | $3,610 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $1,710 | - | $4,885 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $2,856 | - | $8,160 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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