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HCPCS 85415
HC FBRNLYC FACTORS&INHIBITORS PLSMNG ACTIVATOR CDM - as described in hospitals' own price files.
35hospitals publishing a price
$72.54median cash price
$89.25median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Northern Nevada Medical Center | Sparks, NV | - | $17.65 | $69.00 | $11.73 - $129 |
| South Texas Health System | Edinburg, TX | $1,016 | $29.26 | $1,354 | $11.46 - $1,083 |
| Texoma Medical Center | Denison, TX | $34.50 | $30.32 | $46.00 | $9.83 - $62.92 |
| Providence Seward Hospital | Seward, AK | $39.78 | - | $51.00 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $41.34 | - | $53.00 | - |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $41.94 | $305 | $15.47 - $16,470 |
| Providence Alaska Medical Center | Anchorage, AK | $45.24 | - | $58.00 | - |
| Providence St. Joseph Hospital | Eureka, CA | $55.44 | - | $116 | - |
| St. Mary Medical Center | Long Beach, CA | $55.44 | - | $116 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $55.44 | - | $116 | - |
| Providence Mission Hospital | Mission Viejo, CA | $55.44 | - | $116 | - |
| Providence Valdez Medical Center | Valdez, AK | $58.50 | - | $75.00 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $58.91 | - | $116 | - |
| Petaluma Valley Hospital | Petaluma, CA | $58.91 | - | $116 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $58.91 | - | $116 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $58.91 | - | $116 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $63.00 | - | $90.00 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $82.08 | - | $171 | - |
| Swedish Issaquah | Issaquah, WA | $82.08 | - | $171 | - |
| Corona Regional Medical Center | Corona, CA | - | $87.30 | $256 | $12.79 - $319 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $91.20 | $228 | $14.57 - $180 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $125 | $1,109 | $11.73 - $887 |
| Grace Surgical Hospital | Lubbock, TX | $146 | - | $348 | - |
| Temecula Valley Hospital | Temecula, CA | - | $155 | $437 | $12.22 - $393 |
| Henderson Hospital | Henderson, NV | - | $158 | $1,109 | $11.73 - $887 |
| Aiken Regional Medical Center | Aiken, SC | $212 | $159 | $531 | $22.17 - $2,513 |
| Berger Hospital | Circleville, OH | $258 | - | $397 | - |
| Ohiohealth Shelby Hospital | Shelby, OH | $280 | - | $431 | - |
| Doctors Hospital | Columbus, OH | $308 | - | $474 | - |
| Dublin Methodist Hospital | Dublin, OH | $308 | - | $474 | - |
| Grant Medical Center | Columbus, OH | $308 | - | $474 | - |
| Riverside Methodist Hospital | Columbus, OH | $308 | - | $474 | - |
| Ohiohealth O'Bleness Hospital | Athens, OH | $315 | - | $485 | - |
| Grady Memorial Hospital | Delaware, OH | $340 | - | $523 | - |
| Hardin Memorial Hospital | Kenton, OH | $370 | - | $569 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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