Splt agrft f/s/n/h/f/g/m ea cost in California
SPLT AGRFT F/S/N/H/F/G/M EA · CPT 15121
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Providence Saint John's Health Center | Santa Monica | not published | $1,487.00 – $9,891.00 | 4 |
| Mercy General Hospital | Sacramento | not published | $96.98 – $521.25 | 7 |
| St. Bernardine Medical Center | San Bernardino | not published | $96.98 – $764.40 | 8 |
| Providence St Joseph Hospital Orange | Orange | not published | $1,394.00 – $11,456.00 | 4 |
| Mercy Medical Center Redding | Redding | not published | $192.74 – $521.25 | 3 |
| Mercy San Juan Medical Center | Carmichael | not published | $96.98 – $521.25 | 7 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $1,200.00 – $8,912.00 | 4 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $1,716.00 – $19,505.00 | 4 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | not published | $164.86 – $521.25 | 3 |
| Northridge Hospital Medical Center | Northridge | not published | $96.98 – $764.40 | 8 |
| Dominican Hospital | Santa Cruz | not published | $96.98 – $152.88 | 4 |
| Mercy Medical Center Merced | Merced | not published | $96.98 – $330.22 | 10 |
| Sierra Nevada Memorial Hospital | Grass Valley | not published | $96.98 – $345.51 | 4 |
| Glendale Memorial Hospital Health Center | Glendale | not published | $151.52 – $764.40 | 8 |
| St Jude Medical Center | Fullerton | not published | $1,266.00 – $13,012.00 | 4 |
| Providence Saint Joseph Medical Center | Burbank | not published | $1,311.00 – $4,751.00 | 4 |
| Redwood Memorial Hospital | Fortuna | not published | $8,222.00 – $36,398.00 | 3 |
| Healdsburg Hospital | Healdsburg | not published | $3,572.00 – $5,330.31 | 2 |
| St. Joseph's Medical Center Stockton | Stockton | not published | $96.98 – $377.61 | 5 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $2,699.00 – $37,308.00 | 4 |
| Queen of The Valley Medical Center | Napa | not published | $2,747.00 – $12,159.00 | 4 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $96.98 – $368.44 | 8 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $96.98 – $368.44 | 8 |
| French Hospital | San Luis Obispo | not published | $96.98 – $152.88 | 5 |
| Providence Little Company of Mary Med Center Torrance | Torrance | not published | $1,321.00 – $9,648.00 | 4 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | not published | $1,318.00 – $9,636.00 | 4 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $1,528.00 – $7,309.00 | 5 |
| Community Hospital San Bernardino | San Bernardino | not published | $96.98 – $764.40 | 9 |
| St. John's Camarillo Hospital | Camarillo | not published | $119.29 – $208.50 | 2 |
| St. Mary Medical Center | Long Beach | not published | $96.98 – $764.40 | 13 |
| California Hospital Medical Center | Los Angeles | not published | $96.98 – $764.40 | 13 |
| Sequoia Hospital | Redwood City | not published | $96.98 – $265.03 | 6 |
| St. Elizabeth Community Hospital | Red Bluff | not published | $173.34 – $521.25 | 3 |
| Methodist Hospital of Sacramento | Sacramento | not published | $96.98 – $521.25 | 7 |
| Woodland Memorial Hospital | Woodland | not published | $96.98 – $521.25 | 5 |
| Mercy Hospital of Folsom | Folsom | not published | $96.98 – $521.25 | 7 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $1,287.00 – $4,776.00 | 4 |
| Petaluma Valley Hospital | Petaluma | not published | $1,687.00 – $14,372.00 | 3 |
| Mark Twain Medical Center | San Andreas | not published | $96.98 – $96.98 | 5 |
| Arroyo Grande Hospital | Santa Maria | not published | $96.98 – $152.88 | 3 |