TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Covenant Hospital Plainview | Plainview, TX | $8.40 | - | $20.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $21.42 | - | $51.00 | - |
| Providence Holy Family Hospital | Spokane, WA | $21.70 | - | $31.00 | - |
| Providence St. Joseph Medical Center | Polson, MT | $32.80 | - | $41.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $36.75 | - | $49.00 | - |
| Providence Seaside Hospital | Seaside, OR | $36.75 | - | $49.00 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $45.90 | - | $90.00 | - |
| Healdsburg Hospital | Healdsburg, CA | $64.34 | - | $126 | - |
| Providence Medford Medical Center | Medford, OR | $78.75 | - | $105 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $84.15 | - | $165 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $84.15 | - | $165 | - |
| Providence Valdez Medical Center | Valdez, AK | $93.97 | - | $120 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $99.50 | - | $207 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $99.50 | - | $207 | - |
| Swedish Issaquah | Issaquah, WA | $99.50 | - | $207 | - |
| Providence Regional Medical Center Everett | Everett, WA | $137 | - | $263 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $140 | - | $401 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $157 | - | $450 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $157 | - | $450 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $157 | - | $450 | - |
| Providence St. Joseph Hospital | Eureka, CA | $164 | - | $341 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $164 | - | $341 | - |
| Kadlec Regional Medical Center | Richland, WA | $165 | - | $235 | - |
| Saint John'S Health Center | Santa Monica, CA | $169 | - | $484 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $169 | - | $484 | - |
| St. Mary Medical Center | Long Beach, CA | $176 | - | $367 | - |
| Providence Centralia Hospital | Centralia, WA | $189 | - | $363 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $197 | - | $262 | - |
| Providence St. Peter Hospital | Olympia, WA | $202 | - | $388 | - |
| Petaluma Valley Hospital | Petaluma, CA | $213 | - | $417 | - |
| St. Patrick Hospital | Missoula, MT | $220 | - | $276 | - |
| Providence St. Vincent Medical Center | Portland, OR | $221 | - | $294 | - |
| Providence Portland Medical Center | Portland, OR | $221 | - | $294 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $221 | - | $294 | - |
| Providence Seward Hospital | Seward, AK | $265 | - | $339 | - |
| Providence Alaska Medical Center | Anchorage, AK | $265 | - | $339 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $321 | - | $765 | - |
| Covenant Medical Center | Lubbock, TX | $321 | - | $765 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $322 | - | $460 | - |
| Providence Newberg Medical Center | Newberg, OR | $432 | - | $575 | - |
| Providence Mount Carmel Hospital | Colville, WA | $481 | - | $687 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $481 | - | $687 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $654 | - | $839 | - |
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.