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HCPCS 87494
HC CHLMY TRCH&NEISRA GONOR MULT CDM - as described in hospitals' own price files.
7hospitals publishing a price
$83.39median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence St. Joseph Hospital | Eureka, CA | $78.48 | - | $164 | - |
| St. Mary Medical Center | Long Beach, CA | $78.48 | - | $164 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $78.48 | - | $164 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $83.39 | - | $164 | - |
| Petaluma Valley Hospital | Petaluma, CA | $83.39 | - | $164 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $83.39 | - | $164 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $83.39 | - | $164 | - |
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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