HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Grace Surgical Hospital | Lubbock, TX | $118 | - | $280 | - |
| Providence Valdez Medical Center | Valdez, AK | $204 | - | $262 | - |
| Providence Seward Hospital | Seward, AK | $235 | - | $301 | - |
| Saint John'S Health Center | Santa Monica, CA | $272 | - | $776 | - |
| Covenant Hospital Levelland | Levelland, TX | $338 | - | $804 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $350 | - | $833 | - |
| Providence Holy Family Hospital | Spokane, WA | $363 | - | $518 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $404 | - | $1,155 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $404 | - | $1,155 | - |
| Covenant Hospital Plainview | Plainview, TX | $441 | - | $1,051 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $448 | - | $1,280 | - |
| Covenant Medical Center | Lubbock, TX | $459 | - | $1,093 | - |
| St. Mary Medical Center | Long Beach, CA | $461 | - | $960 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $469 | - | $1,341 | - |
| Providence Centralia Hospital | Centralia, WA | $485 | - | $933 | - |
| Providence St. Peter Hospital | Olympia, WA | $485 | - | $933 | - |
| Providence St. Joseph Hospital | Eureka, CA | $605 | - | $1,260 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $622 | - | $888 | - |
| Providence St. Joseph Medical Center | Polson, MT | $625 | - | $781 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $630 | - | $1,313 | - |
| Swedish Issaquah | Issaquah, WA | $630 | - | $1,313 | - |
| Providence Seaside Hospital | Seaside, OR | $638 | - | $850 | - |
| Kadlec Regional Medical Center | Richland, WA | $643 | - | $919 | - |
| Providence Regional Medical Center Everett | Everett, WA | $653 | - | $1,256 | - |
| Healdsburg Hospital | Healdsburg, CA | $661 | - | $1,297 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $672 | - | $861 | - |
| St. Patrick Hospital | Missoula, MT | $738 | - | $923 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $742 | - | $2,121 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $838 | - | $1,118 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $947 | - | $1,856 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $957 | - | $1,877 | - |
| Providence Newberg Medical Center | Newberg, OR | $1,004 | - | $1,338 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $1,004 | - | $1,338 | - |
| Providence St. Vincent Medical Center | Portland, OR | $1,004 | - | $1,338 | - |
| Providence Portland Medical Center | Portland, OR | $1,004 | - | $1,338 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $1,004 | - | $1,338 | - |
| Providence Medford Medical Center | Medford, OR | $1,113 | - | $1,484 | - |
| Petaluma Valley Hospital | Petaluma, CA | $1,121 | - | $2,198 | - |
| Providence Mount Carmel Hospital | Colville, WA | $1,123 | - | $1,604 | - |
| Providence Alaska Medical Center | Anchorage, AK | $1,258 | - | $1,613 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $1,273 | - | $2,496 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $1,475 | - | $3,072 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $2,558 | - | $3,655 | - |
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.