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HCPCS 90649
HC PR RX 4VHPV VACCINE 3 DOSE IM 0.5 ML - as described in hospitals' own price files.
6hospitals publishing a price
$115median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | $66.36 | - | $158 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $94.35 | - | $185 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $115 | - | $153 | - |
| Providence Seaside Hospital | Seaside, OR | $115 | - | $153 | - |
| Providence Regional Medical Center Everett | Everett, WA | $208 | - | $400 | - |
| Providence St. Joseph Medical Center | Polson, MT | $218 | - | $273 | - |
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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