HC IAAD IA ROTAVIRUS CDM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence St. Joseph Hospital | Eureka, CA | $36.10 | - | $75.20 | - |
| St. Mary Medical Center | Long Beach, CA | $36.10 | - | $75.20 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $36.10 | - | $75.20 | - |
| Covenant Medical Center | Lubbock, TX | $36.12 | - | $86.00 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $38.35 | - | $75.20 | - |
| Petaluma Valley Hospital | Petaluma, CA | $38.35 | - | $75.20 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $38.35 | - | $75.20 | - |
| Covenant Hospital Plainview | Plainview, TX | $60.06 | - | $143 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $63.70 | - | $91.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $73.08 | - | $174 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $76.32 | - | $159 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $76.32 | - | $159 | - |
| Swedish Issaquah | Issaquah, WA | $76.32 | - | $159 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $76.50 | - | $150 | - |
| Providence Regional Medical Center Everett | Everett, WA | $82.68 | - | $159 | - |
| Providence St. Joseph Medical Center | Polson, MT | $91.20 | - | $114 | - |
| Providence Newberg Medical Center | Newberg, OR | $107 | - | $143 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $107 | - | $143 | - |
| Providence St. Vincent Medical Center | Portland, OR | $107 | - | $143 | - |
| Providence Portland Medical Center | Portland, OR | $107 | - | $143 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $107 | - | $143 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $119 | - | $340 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $127 | - | $302 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $153 | - | $218 | - |
| Providence Mount Carmel Hospital | Colville, WA | $166 | - | $237 | - |
| Providence Centralia Hospital | Centralia, WA | $168 | - | $323 | - |
| Providence St. Peter Hospital | Olympia, WA | $168 | - | $323 | - |
| Kadlec Regional Medical Center | Richland, WA | $199 | - | $284 | - |
| Providence Holy Family Hospital | Spokane, WA | $211 | - | $302 | - |
| Providence Alaska Medical Center | Anchorage, AK | $255 | - | $327 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $316 | - | $902 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $316 | - | $902 | - |
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.