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HCPCS 96367

HC ED IV INFUSION THERAPY PROPHYLAXIS ADDL SEQUENTIAL TO 1 HR CDM - as described in hospitals' own price files.

43hospitals publishing a price
$206median cash price
-median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Swedish Medical Center / Cherry HillSeattle, WA$69.12-$144-
Swedish IssaquahIssaquah, WA$69.12-$144-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$77.00-$220-
Providence St. Jude Medical CenterFullerton, CA$83.52-$174-
Providence St. Joseph HospitalChewelah, WA$95.20-$136-
Covenant Health Hobbs HospitalHobbs, NM$107-$254-
St. Patrick HospitalMissoula, MT$109-$136-
Providence Portland Medical CenterPortland, OR$111-$148-
Providence Willamette Falls Medical CenterOregon City, OR$111-$148-
Saint John'S Health CenterSanta Monica, CA$113-$324-
Providence Mount Carmel HospitalColville, WA$113-$162-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$119-$233-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$128-$367-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$128-$367-
Providence St. Joseph Medical CenterPolson, MT$131-$164-
Petaluma Valley HospitalPetaluma, CA$135-$264-
Providence Holy Family HospitalSpokane, WA$149-$213-
Providence St. Mary Medical CenterWalla Walla, WA$164-$235-
Providence Centralia HospitalCentralia, WA$187-$359-
Providence St. Peter HospitalOlympia, WA$187-$359-
Providence St. Joseph HospitalEureka, CA$191-$397-
Healdsburg HospitalHealdsburg, CA$206-$403-
Covenant Hospital PlainviewPlainview, TX$225-$536-
Providence Alaska Medical CenterAnchorage, AK$226-$290-
Grace Surgical HospitalLubbock, TX$228-$544-
Kadlec Regional Medical CenterRichland, WA$229-$327-
Providence Queen Of The Valley Medical CenterNapa, CA$230-$451-
St. Mary Medical CenterLong Beach, CA$243-$507-
Covenant Medical CenterLubbock, TX$244-$581-
Providence Holy Cross Medical CenterMission Hills, CA$252-$721-
Providence Saint Joseph Medical CtrBurbank, CA$260-$743-
Covenant Hospital LevellandLevelland, TX$280-$667-
Providence Redwood Memorial HospitalFortuna, CA$345-$676-
Providence Seward HospitalSeward, AK$356-$457-
Providence Regional Medical Center EverettEverett, WA$364-$700-
Providence Valdez Medical CenterValdez, AK$436-$559-
Providence Kodiak Island Medical CtrKodiak, AK$598-$767-
Providence Seaside HospitalSeaside, OR$648-$864-
Providence Newberg Medical CenterNewberg, OR$674-$899-
Providence Milwaukie HospitalMilwaukie, OR$674-$899-
Providence St. Vincent Medical CenterPortland, OR$674-$899-
Providence Hood River Memorial HospitalHood River, OR$698-$930-
Providence Medford Medical CenterMedford, OR$980-$1,306-

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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