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HCPCS 90633
HC PR RX HEPATITIS A VACCINE PEDIATRIC 2 DOSE IM 0.5 ML - as described in hospitals' own price files.
8hospitals publishing a price
$42.75median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | $21.00 | - | $50.00 | - |
| Providence St. Joseph Medical Center | Polson, MT | $24.80 | - | $31.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $29.40 | - | $70.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $42.75 | - | $57.00 | - |
| Providence Seaside Hospital | Seaside, OR | $42.75 | - | $57.00 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $45.90 | - | $90.00 | - |
| Providence Valdez Medical Center | Valdez, AK | $55.07 | - | $70.60 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $286 | - | $367 | - |
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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