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HCPCS X3904
HC MC VIRTUAL THERAPY PT SINGLE PROCEDURE 1 AREA 1ST 30 MINS CDM - as described in hospitals' own price files.
11hospitals publishing a price
$188median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence St. Joseph Hospital | Eureka, CA | $96.00 | - | $200 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $101 | - | $211 | - |
| St. Mary Medical Center | Long Beach, CA | $111 | - | $232 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $150 | - | $295 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $156 | - | $445 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $188 | - | $368 | - |
| Saint John'S Health Center | Santa Monica, CA | $233 | - | $666 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $282 | - | $552 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $368 | - | $1,052 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $368 | - | $1,052 | - |
| Petaluma Valley Hospital | Petaluma, CA | $453 | - | $889 | - |
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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