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HCPCS X4100
HC MC OT EVALUATION 30 MIN - as described in hospitals' own price files.
14hospitals publishing a price
$377median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence St. Joseph Hospital | Eureka, CA | $126 | - | $262 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $138 | - | $288 | - |
| St. Mary Medical Center | Long Beach, CA | $147 | - | $307 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $159 | - | $311 | - |
| Healdsburg Hospital | Healdsburg, CA | $197 | - | $386 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $197 | - | $386 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $282 | - | $552 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $472 | - | $1,348 | - |
| Petaluma Valley Hospital | Petaluma, CA | $476 | - | $934 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $480 | - | $1,370 | - |
| Saint John'S Health Center | Santa Monica, CA | $491 | - | $1,404 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $590 | - | $1,685 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $590 | - | $1,685 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $705 | - | $2,014 | - |
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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