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HCPCS X4102
HC MC OT EVALUATION ADDL 15 MIN - as described in hospitals' own price files.
14hospitals publishing a price
$188median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Healdsburg Hospital | Healdsburg, CA | $43.35 | - | $85.00 | - |
| Providence St. Joseph Hospital | Eureka, CA | $69.12 | - | $144 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $69.60 | - | $145 | - |
| St. Mary Medical Center | Long Beach, CA | $73.92 | - | $154 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $78.54 | - | $154 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $98.94 | - | $194 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $142 | - | $278 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $235 | - | $671 | - |
| Petaluma Valley Hospital | Petaluma, CA | $238 | - | $467 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $240 | - | $685 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $296 | - | $845 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $296 | - | $845 | - |
| Saint John'S Health Center | Santa Monica, CA | $308 | - | $880 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $351 | - | $1,004 | - |
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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