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HCPCS 90702
DIPHTHERIA-TETANUS TOX ADSORBED (DT) IM INJ 25-5 UNIT/0.5ML - as described in hospitals' own price files.
5hospitals publishing a price
$204median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | $5.88 | - | $14.00 | - |
| St. Mary Medical Center | Long Beach, CA | $204 | - | $425 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $204 | - | $425 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $275 | - | $367 | - |
| Providence Newberg Medical Center | Newberg, OR | $275 | - | $367 | - |
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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