Foam drg > 48 sq in w/border cost in California

Foam drg > 48 sq in w/border · HCPCS A6214

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $20.41 – $24.20 2
Providence Saint Joseph Medical Center Burbank not published $20.41 – $20.41 1
Providence Little Company of Mary Med Center Torrance Torrance not published $20.41 – $20.41 1
Providence Little Co of Mary Med Center San Pedro San Pedro not published $20.41 – $20.41 1
Providence Holy Cross Medical Center Mission Hills not published $20.41 – $20.41 1
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $20.41 – $20.41 1