Mouth piece cost in California

Mouth piece · HCPCS A4617

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $6.14 – $7.29 2
Providence Saint Joseph Medical Center Burbank not published $6.14 – $6.14 1
Providence Little Company of Mary Med Center Torrance Torrance not published $6.14 – $6.14 1
Providence Little Co of Mary Med Center San Pedro San Pedro not published $6.14 – $6.14 1
Providence Holy Cross Medical Center Mission Hills not published $6.14 – $6.14 1
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $6.14 – $6.14 1