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HCPCS 91304

HC PR RX COVID-19 VACCINE SINGLE DOSE (NOVAVAX) PF ADJ IM 5 MCG/0.5 ML - as described in hospitals' own price files.

30hospitals publishing a price
$207median cash price
-median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Grace Surgical HospitalLubbock, TX$124-$296-
Covenant Hospital LevellandLevelland, TX$124-$296-
Covenant Hospital PlainviewPlainview, TX$124-$296-
Covenant Health Hobbs HospitalHobbs, NM$124-$296-
Swedish Medical Center / Cherry HillSeattle, WA$142-$296-
Swedish IssaquahIssaquah, WA$142-$296-
Healdsburg HospitalHealdsburg, CA$151-$296-
Providence Redwood Memorial HospitalFortuna, CA$151-$296-
Petaluma Valley HospitalPetaluma, CA$151-$296-
Providence Queen Of The Valley Medical CenterNapa, CA$151-$296-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$151-$296-
Providence Regional Medical Center EverettEverett, WA$154-$296-
Providence Holy Family HospitalSpokane, WA$207-$296-
Providence Mount Carmel HospitalColville, WA$207-$296-
Kadlec Regional Medical CenterRichland, WA$207-$296-
Providence St. Joseph HospitalChewelah, WA$207-$296-
Providence St. Mary Medical CenterWalla Walla, WA$207-$296-
Providence Hood River Memorial HospitalHood River, OR$222-$296-
Providence Newberg Medical CenterNewberg, OR$222-$296-
Providence Medford Medical CenterMedford, OR$222-$296-
Providence Milwaukie HospitalMilwaukie, OR$222-$296-
Providence St. Vincent Medical CenterPortland, OR$222-$296-
Providence Portland Medical CenterPortland, OR$222-$296-
Providence Willamette Falls Medical CenterOregon City, OR$222-$296-
Providence Seward HospitalSeward, AK$231-$296-
Providence Valdez Medical CenterValdez, AK$231-$296-
Providence Alaska Medical CenterAnchorage, AK$231-$296-
St. Patrick HospitalMissoula, MT$237-$296-
Providence St. Joseph Medical CenterPolson, MT$237-$296-
Providence Kodiak Island Medical CtrKodiak, AK$335-$430-

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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