Riboflavin 5'phos opth<=3ml cost in California

Riboflavin 5'Phos opth<=3ml · HCPCS J2787

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $2,325.60 – $5,882.40 5
Providence St Joseph Hospital Orange Orange not published $2,479.05 – $5,882.40 2
Providence Mission Hospital - Mission Viejo Mission Viejo not published $2,509.99 – $5,882.40 2
Santa Rosa Memorial Hospital Santa Rosa not published $2,038.89 – $5,882.40 2
St Jude Medical Center Fullerton not published $2,541.38 – $5,882.40 2
Providence Saint Joseph Medical Center Burbank not published $2,325.60 – $5,882.40 4
Redwood Memorial Hospital Fortuna not published $2,454.58 – $2,454.58 1
Healdsburg Hospital Healdsburg not published $2,325.60 – $4,835.29 3
Providence St Joseph Hospital Eureka Eureka not published $2,448.58 – $5,882.40 2
Queen of The Valley Medical Center Napa not published $2,052.74 – $5,882.40 2
Providence Little Company of Mary Med Center Torrance Torrance not published $2,325.60 – $6,222.72 4
Providence Little Co of Mary Med Center San Pedro San Pedro not published $2,325.60 – $6,476.81 4
Providence Holy Cross Medical Center Mission Hills not published $2,325.60 – $6,097.14 4
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $2,325.60 – $5,882.40 4
Petaluma Valley Hospital Petaluma not published $1,896.38 – $5,882.40 2