Foam drg > 48 sq in without brdr cost in California

Foam drg > 48 sq in w/o brdr · HCPCS A6211

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $58.21 – $69.09 2
Providence Saint Joseph Medical Center Burbank not published $58.21 – $58.21 1
Providence Little Company of Mary Med Center Torrance Torrance not published $58.21 – $58.21 1
Providence Little Co of Mary Med Center San Pedro San Pedro not published $58.21 – $58.21 1
Providence Holy Cross Medical Center Mission Hills not published $58.21 – $58.21 1
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $58.21 – $58.21 1