Drm agrft t/a/l ea addl cost in California

DRM AGRFT T/A/L EA ADDL · CPT 15131

Hospital City Cash price Negotiated range Payers
Providence Mission Hospital - Mission Viejo Mission Viejo not published $1,200.00 – $5,357.00 4
Santa Rosa Memorial Hospital Santa Rosa not published $1,716.00 – $12,908.00 4
Mercy Medical Center Mt. Shasta Mt Shasta not published $115.44 – $364.98 3
Northridge Hospital Medical Center Northridge not published $97.40 – $535.25 8
Dominican Hospital Santa Cruz not published $97.40 – $119.80 4
Mercy Medical Center Merced Merced not published $97.40 – $231.23 10
Sierra Nevada Memorial Hospital Grass Valley not published $97.40 – $241.93 4
Redwood Memorial Hospital Fortuna not published $5,981.00 – $20,799.00 3
Healdsburg Hospital Healdsburg not published $2,335.00 – $3,982.87 2
St. Joseph's Medical Center Stockton Stockton not published $84.88 – $264.41 5
Providence St Joseph Hospital Eureka Eureka not published $2,699.00 – $21,319.00 4
Queen of The Valley Medical Center Napa not published $2,747.00 – $8,621.00 4
Bakersfield Memorial Hospital Bakersfield not published $97.40 – $257.99 8
Mercy Hospitals – Bakersfield Bakersfield not published $97.40 – $257.99 8
French Hospital San Luis Obispo not published $97.40 – $119.80 5
St. John's Camarillo Hospital Camarillo not published $119.80 – $145.99 2
Petaluma Valley Hospital Petaluma not published $1,687.00 – $10,997.00 3
Mark Twain Medical Center San Andreas not published $97.40 – $97.40 5
Arroyo Grande Hospital Santa Maria not published $97.40 – $119.80 3