Srs spinal lesion addl cost in California
SRS SPINAL LESION ADDL · CPT 63621
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Providence Saint John's Health Center | Santa Monica | not published | $364.83 – $9,891.00 | 4 |
| Mercy General Hospital | Sacramento | not published | $100.00 – $709.20 | 7 |
| St. Bernardine Medical Center | San Bernardino | not published | $164.93 – $824.65 | 8 |
| Providence St Joseph Hospital Orange | Orange | not published | $3,845.00 – $14,032.00 | 2 |
| Mercy Medical Center Redding | Redding | not published | $262.24 – $709.20 | 3 |
| Mercy San Juan Medical Center | Carmichael | not published | $164.93 – $709.20 | 7 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $3,281.00 – $13,634.00 | 2 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $4,737.00 – $9,773.00 | 2 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | not published | $224.30 – $709.20 | 3 |
| Northridge Hospital Medical Center | Northridge | not published | $164.93 – $824.65 | 8 |
| Dominican Hospital | Santa Cruz | not published | $164.93 – $249.52 | 4 |
| Mercy Medical Center Merced | Merced | not published | $164.93 – $356.25 | 10 |
| Sierra Nevada Memorial Hospital | Grass Valley | not published | $164.93 – $372.74 | 4 |
| Glendale Memorial Hospital Health Center | Glendale | not published | $164.93 – $824.65 | 8 |
| St Jude Medical Center | Fullerton | not published | $3,465.00 – $17,015.00 | 2 |
| Providence Saint Joseph Medical Center | Burbank | not published | $364.83 – $7,764.00 | 4 |
| Redwood Memorial Hospital | Fortuna | not published | $11,059.00 – $11,059.00 | 1 |
| St. Joseph's Medical Center Stockton | Stockton | not published | $164.93 – $407.38 | 5 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $7,327.00 – $11,046.00 | 2 |
| Queen of The Valley Medical Center | Napa | not published | $7,455.00 – $9,256.00 | 2 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $164.93 – $397.48 | 8 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $164.93 – $397.48 | 8 |
| French Hospital | San Luis Obispo | not published | $100.00 – $202.86 | 6 |
| Providence Little Company of Mary Med Center Torrance | Torrance | not published | $307.83 – $9,648.00 | 4 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | not published | $188.63 – $9,636.00 | 4 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $188.63 – $5,789.00 | 4 |
| Community Hospital San Bernardino | San Bernardino | not published | $164.93 – $824.65 | 9 |
| St. John's Camarillo Hospital | Camarillo | not published | $100.00 – $286.98 | 3 |
| St. Mary Medical Center | Long Beach | not published | $148.44 – $824.65 | 13 |
| California Hospital Medical Center | Los Angeles | not published | $100.00 – $824.65 | 14 |
| Sequoia Hospital | Redwood City | not published | $100.00 – $262.85 | 7 |
| St. Elizabeth Community Hospital | Red Bluff | not published | $235.85 – $709.20 | 3 |
| Methodist Hospital of Sacramento | Sacramento | not published | $164.93 – $709.20 | 7 |
| Woodland Memorial Hospital | Woodland | not published | $164.93 – $709.20 | 5 |
| Mercy Hospital of Folsom | Folsom | not published | $100.00 – $709.20 | 7 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $188.63 – $7,971.00 | 4 |
| Petaluma Valley Hospital | Petaluma | not published | $4,657.00 – $4,657.00 | 1 |
| Mark Twain Medical Center | San Andreas | not published | $164.93 – $164.93 | 5 |
| Arroyo Grande Hospital | Santa Maria | not published | $164.93 – $249.52 | 3 |