HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Swedish Edmonds Hospital | Edmonds, WA | $50.40 | - | $105 | - |
| Providence St. Joseph Medical Center | Polson, MT | $52.80 | - | $66.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $100 | - | $134 | - |
| Providence Seaside Hospital | Seaside, OR | $100 | - | $134 | - |
| Covenant Hospital Plainview | Plainview, TX | $116 | - | $277 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $148 | - | $212 | - |
| Providence Mount Carmel Hospital | Colville, WA | $160 | - | $229 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $162 | - | $338 | - |
| Covenant Hospital Levelland | Levelland, TX | $166 | - | $396 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $172 | - | $492 | - |
| Saint John'S Health Center | Santa Monica, CA | $190 | - | $542 | - |
| Grace Surgical Hospital | Lubbock, TX | $204 | - | $486 | - |
| Providence Portland Medical Center | Portland, OR | $206 | - | $275 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $206 | - | $275 | - |
| Providence St. Joseph Hospital | Eureka, CA | $208 | - | $434 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $215 | - | $613 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $215 | - | $613 | - |
| Kadlec Regional Medical Center | Richland, WA | $221 | - | $316 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $230 | - | $547 | - |
| Providence Regional Medical Center Everett | Everett, WA | $231 | - | $445 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $234 | - | $488 | - |
| Swedish Issaquah | Issaquah, WA | $234 | - | $488 | - |
| St. Mary Medical Center | Long Beach, CA | $242 | - | $504 | - |
| Covenant Medical Center | Lubbock, TX | $248 | - | $591 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $252 | - | $721 | - |
| St. Patrick Hospital | Missoula, MT | $277 | - | $346 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $298 | - | $425 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $310 | - | $607 | - |
| Providence Medford Medical Center | Medford, OR | $332 | - | $443 | - |
| Providence Holy Family Hospital | Spokane, WA | $356 | - | $508 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $377 | - | $1,076 | - |
| Providence Newberg Medical Center | Newberg, OR | $378 | - | $504 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $378 | - | $504 | - |
| Providence St. Vincent Medical Center | Portland, OR | $378 | - | $504 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $392 | - | $768 | - |
| Providence Valdez Medical Center | Valdez, AK | $402 | - | $515 | - |
| Petaluma Valley Hospital | Petaluma, CA | $443 | - | $868 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $498 | - | $977 | - |
| Providence Centralia Hospital | Centralia, WA | $614 | - | $1,180 | - |
| Providence St. Peter Hospital | Olympia, WA | $614 | - | $1,180 | - |
| Healdsburg Hospital | Healdsburg, CA | $625 | - | $1,225 | - |
| Providence Seward Hospital | Seward, AK | $630 | - | $808 | - |
| Providence Alaska Medical Center | Anchorage, AK | $667 | - | $855 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $686 | - | $879 | - |
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.