HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence St. Joseph Medical Center | Polson, MT | $92.80 | - | $116 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $115 | - | $239 | - |
| Swedish Issaquah | Issaquah, WA | $115 | - | $239 | - |
| Providence Centralia Hospital | Centralia, WA | $117 | - | $225 | - |
| Providence St. Peter Hospital | Olympia, WA | $117 | - | $225 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $118 | - | $169 | - |
| St. Patrick Hospital | Missoula, MT | $119 | - | $149 | - |
| Providence St. Joseph Hospital | Eureka, CA | $140 | - | $292 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $153 | - | $204 | - |
| Grace Surgical Hospital | Lubbock, TX | $158 | - | $376 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $160 | - | $381 | - |
| Providence Mount Carmel Hospital | Colville, WA | $160 | - | $229 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $161 | - | $316 | - |
| Kadlec Regional Medical Center | Richland, WA | $169 | - | $241 | - |
| Covenant Hospital Plainview | Plainview, TX | $175 | - | $416 | - |
| Providence Holy Family Hospital | Spokane, WA | $182 | - | $260 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $183 | - | $261 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $187 | - | $535 | - |
| St. Mary Medical Center | Long Beach, CA | $191 | - | $398 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $191 | - | $375 | - |
| Saint John'S Health Center | Santa Monica, CA | $195 | - | $557 | - |
| Providence Regional Medical Center Everett | Everett, WA | $204 | - | $393 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $214 | - | $612 | - |
| Petaluma Valley Hospital | Petaluma, CA | $218 | - | $428 | - |
| Covenant Medical Center | Lubbock, TX | $222 | - | $529 | - |
| Healdsburg Hospital | Healdsburg, CA | $224 | - | $440 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $239 | - | $469 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $244 | - | $697 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $244 | - | $697 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $253 | - | $527 | - |
| Providence Medford Medical Center | Medford, OR | $271 | - | $361 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $280 | - | $799 | - |
| Providence Newberg Medical Center | Newberg, OR | $318 | - | $424 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $318 | - | $424 | - |
| Providence St. Vincent Medical Center | Portland, OR | $318 | - | $424 | - |
| Providence Portland Medical Center | Portland, OR | $318 | - | $424 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $318 | - | $424 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $335 | - | $697 | - |
| Providence Seaside Hospital | Seaside, OR | $366 | - | $488 | - |
| Providence Seward Hospital | Seward, AK | $417 | - | $534 | - |
| Providence Alaska Medical Center | Anchorage, AK | $436 | - | $559 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $495 | - | $634 | - |
| Providence Valdez Medical Center | Valdez, AK | $562 | - | $720 | - |
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.