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HCPCS 90698
DIPH-AC PER-TET TOX AD-POLIOV-HAEMOPH B POLY VAC FOR IM SUSP - as described in hospitals' own price files.
12hospitals publishing a price
$159median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | $29.40 | - | $70.00 | - |
| Providence Regional Medical Center Everett | Everett, WA | $37.44 | - | $72.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $55.44 | - | $132 | - |
| Providence St. Joseph Medical Center | Polson, MT | $61.60 | - | $77.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $111 | - | $148 | - |
| Providence Seaside Hospital | Seaside, OR | $111 | - | $148 | - |
| St. Mary Medical Center | Long Beach, CA | $208 | - | $433 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $242 | - | $693 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $283 | - | $809 | - |
| Providence St. Vincent Medical Center | Portland, OR | $343 | - | $457 | - |
| Providence Portland Medical Center | Portland, OR | $343 | - | $457 | - |
| Providence Holy Family Hospital | Spokane, WA | $804 | - | $1,149 | - |
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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