HC CRISIS TELEH 97166 OT EVALUATION MOD COMPLEXITY CDM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence St. Mary Medical Center | Walla Walla, WA | $118 | - | $169 | - |
| Providence St. Joseph Medical Center | Polson, MT | $123 | - | $154 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $132 | - | $275 | - |
| Swedish Issaquah | Issaquah, WA | $132 | - | $275 | - |
| St. Patrick Hospital | Missoula, MT | $146 | - | $183 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $153 | - | $204 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $160 | - | $381 | - |
| Providence Mount Carmel Hospital | Colville, WA | $160 | - | $229 | - |
| Covenant Hospital Plainview | Plainview, TX | $175 | - | $416 | - |
| Covenant Medical Center | Lubbock, TX | $175 | - | $579 | - |
| Providence Centralia Hospital | Centralia, WA | $175 | - | $337 | - |
| Providence St. Peter Hospital | Olympia, WA | $175 | - | $337 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $188 | - | $268 | - |
| Saint John'S Health Center | Santa Monica, CA | $198 | - | $567 | - |
| Kadlec Regional Medical Center | Richland, WA | $201 | - | $287 | - |
| Providence Regional Medical Center Everett | Everett, WA | $207 | - | $399 | - |
| Providence St. Joseph Hospital | Eureka, CA | $210 | - | $438 | - |
| Providence Holy Family Hospital | Spokane, WA | $213 | - | $304 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $218 | - | $622 | - |
| Grace Surgical Hospital | Lubbock, TX | $237 | - | $565 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $240 | - | $685 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $241 | - | $473 | - |
| Healdsburg Hospital | Healdsburg, CA | $243 | - | $476 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $249 | - | $711 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $249 | - | $711 | - |
| Providence Medford Medical Center | Medford, OR | $271 | - | $361 | - |
| St. Mary Medical Center | Long Beach, CA | $286 | - | $596 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $287 | - | $562 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $290 | - | $605 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $294 | - | $839 | - |
| 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 Redwood Memorial Hospital | Fortuna, CA | $359 | - | $703 | - |
| Providence Seaside Hospital | Seaside, OR | $380 | - | $507 | - |
| Petaluma Valley Hospital | Petaluma, CA | $393 | - | $770 | - |
| Providence Alaska Medical Center | Anchorage, AK | $480 | - | $616 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $494 | - | $1,030 | - |
| Providence Seward Hospital | Seward, AK | $498 | - | $639 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $544 | - | $697 | - |
| Providence Valdez Medical Center | Valdez, AK | $618 | - | $792 | - |
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.