DIPH, ACELLULAR PERT & TET TOX INJ 25 LF-58 MCG-10 LF/0.5ML - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Covenant Hospital Plainview | Plainview, TX | $10.50 | - | $25.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $18.48 | - | $44.00 | - |
| Providence St. Joseph Medical Center | Polson, MT | $20.00 | - | $25.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $30.00 | - | $40.00 | - |
| Providence Seaside Hospital | Seaside, OR | $30.00 | - | $40.00 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $38.25 | - | $75.00 | - |
| Healdsburg Hospital | Healdsburg, CA | $45.90 | - | $90.00 | - |
| Providence Valdez Medical Center | Valdez, AK | $55.89 | - | $71.65 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $66.37 | - | $138 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $66.37 | - | $138 | - |
| Swedish Issaquah | Issaquah, WA | $66.37 | - | $138 | - |
| Saint John'S Health Center | Santa Monica, CA | $71.72 | - | $205 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $71.72 | - | $205 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $83.60 | - | $239 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $93.61 | - | $267 | - |
| Providence Regional Medical Center Everett | Everett, WA | $97.26 | - | $187 | - |
| St. Mary Medical Center | Long Beach, CA | $97.43 | - | $203 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $97.43 | - | $203 | - |
| Kadlec Regional Medical Center | Richland, WA | $97.96 | - | $140 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $111 | - | $316 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $111 | - | $316 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $111 | - | $218 | - |
| Providence Portland Medical Center | Portland, OR | $131 | - | $174 | - |
| Providence Newberg Medical Center | Newberg, OR | $131 | - | $175 | - |
| Providence Medford Medical Center | Medford, OR | $131 | - | $175 | - |
| Providence St. Vincent Medical Center | Portland, OR | $131 | - | $175 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $131 | - | $175 | - |
| Providence Centralia Hospital | Centralia, WA | $146 | - | $280 | - |
| Providence St. Peter Hospital | Olympia, WA | $146 | - | $280 | - |
| Petaluma Valley Hospital | Petaluma, CA | $149 | - | $291 | - |
| Providence Alaska Medical Center | Anchorage, AK | $154 | - | $197 | - |
| St. Patrick Hospital | Missoula, MT | $159 | - | $199 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $218 | - | $279 | - |
| Providence Holy Family Hospital | Spokane, WA | $266 | - | $380 | - |
| Providence Mount Carmel Hospital | Colville, WA | $266 | - | $380 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $266 | - | $380 | - |
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.