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HCPCS 90697
DIPH-TET TOX-AC PERT AD-POLIO IPV-HIB-HEP B REC SUSP PRE SYR - as described in hospitals' own price files.
10hospitals publishing a price
$156median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | $21.40 | - | $27.44 | - |
| Providence St. Joseph Medical Center | Polson, MT | $88.00 | - | $110 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $111 | - | $148 | - |
| Providence Seaside Hospital | Seaside, OR | $111 | - | $148 | - |
| Covenant Hospital Levelland | Levelland, TX | $156 | - | $371 | - |
| Covenant Hospital Plainview | Plainview, TX | $156 | - | $371 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $273 | - | $569 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $273 | - | $569 | - |
| Swedish Issaquah | Issaquah, WA | $273 | - | $569 | - |
| Kadlec Regional Medical Center | Richland, WA | $389 | - | $556 | - |
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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