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HCPCS 94610

HC INTRAPULMONARY SURFACTANT ADMINISTJ THROUGH TUBE PHYS/QHP CDM - as described in hospitals' own price files.

27hospitals publishing a price
$257median cash price
-median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Providence Holy Family HospitalSpokane, WA$70.00-$100-
Providence Newberg Medical CenterNewberg, OR$91.50-$122-
Providence Milwaukie HospitalMilwaukie, OR$91.50-$122-
Providence St. Vincent Medical CenterPortland, OR$91.50-$122-
Providence Portland Medical CenterPortland, OR$91.50-$122-
Providence Willamette Falls Medical CenterOregon City, OR$91.50-$122-
St. Mary Medical CenterLong Beach, CA$117-$244-
Covenant Health Hobbs HospitalHobbs, NM$130-$310-
Providence St. Jude Medical CenterFullerton, CA$153-$318-
Covenant Medical CenterLubbock, TX$158-$376-
Providence St. Mary Medical CenterWalla Walla, WA$167-$239-
Kadlec Regional Medical CenterRichland, WA$216-$309-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$222-$435-
Providence Queen Of The Valley Medical CenterNapa, CA$257-$504-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$264-$754-
Swedish Medical Center / Cherry HillSeattle, WA$266-$555-
Swedish IssaquahIssaquah, WA$266-$555-
Providence Regional Medical Center EverettEverett, WA$305-$586-
Providence St. Joseph HospitalEureka, CA$319-$665-
St. Patrick HospitalMissoula, MT$367-$459-
Saint John'S Health CenterSanta Monica, CA$391-$1,117-
Providence Hood River Memorial HospitalHood River, OR$427-$569-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$615-$1,758-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$615-$1,758-
Providence Alaska Medical CenterAnchorage, AK$655-$840-
Providence Holy Cross Medical CenterMission Hills, CA$663-$1,895-
Providence Saint Joseph Medical CtrBurbank, CA$877-$2,507-

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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