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HCPCS 90696
HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML - as described in hospitals' own price files.
7hospitals publishing a price
$32.76median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | $14.70 | - | $35.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $22.50 | - | $30.00 | - |
| Providence Seaside Hospital | Seaside, OR | $22.50 | - | $30.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $32.76 | - | $78.00 | - |
| Providence St. Joseph Medical Center | Polson, MT | $41.60 | - | $52.00 | - |
| Providence Valdez Medical Center | Valdez, AK | $127 | - | $163 | - |
| Providence Portland Medical Center | Portland, OR | $243 | - | $324 | - |
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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