HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH EACH NEW DRUG CDM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence St. Joseph Medical Center | Polson, MT | $22.40 | - | $28.00 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $45.12 | - | $94.00 | - |
| Swedish Issaquah | Issaquah, WA | $45.12 | - | $94.00 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $50.40 | - | $105 | - |
| Covenant Hospital Levelland | Levelland, TX | $70.14 | - | $167 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $72.96 | - | $152 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $77.00 | - | $220 | - |
| Providence Portland Medical Center | Portland, OR | $82.50 | - | $110 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $82.50 | - | $110 | - |
| Saint John'S Health Center | Santa Monica, CA | $100 | - | $286 | - |
| Covenant Hospital Plainview | Plainview, TX | $104 | - | $248 | - |
| St. Patrick Hospital | Missoula, MT | $109 | - | $136 | - |
| Providence St. Joseph Hospital | Eureka, CA | $109 | - | $227 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $114 | - | $223 | - |
| Providence Centralia Hospital | Centralia, WA | $119 | - | $229 | - |
| Providence St. Peter Hospital | Olympia, WA | $119 | - | $229 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $123 | - | $292 | - |
| Providence Holy Family Hospital | Spokane, WA | $149 | - | $213 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $149 | - | $213 | - |
| Healdsburg Hospital | Healdsburg, CA | $152 | - | $299 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $156 | - | $447 | - |
| Petaluma Valley Hospital | Petaluma, CA | $158 | - | $309 | - |
| Providence Mount Carmel Hospital | Colville, WA | $161 | - | $230 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $168 | - | $480 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $168 | - | $480 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $186 | - | $532 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $196 | - | $385 | - |
| Providence Seward Hospital | Seward, AK | $197 | - | $252 | - |
| Providence Regional Medical Center Everett | Everett, WA | $201 | - | $386 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $205 | - | $293 | - |
| Providence Seaside Hospital | Seaside, OR | $209 | - | $279 | - |
| Kadlec Regional Medical Center | Richland, WA | $221 | - | $316 | - |
| Grace Surgical Hospital | Lubbock, TX | $229 | - | $545 | - |
| Providence Medford Medical Center | Medford, OR | $234 | - | $312 | - |
| St. Mary Medical Center | Long Beach, CA | $243 | - | $507 | - |
| Covenant Medical Center | Lubbock, TX | $278 | - | $663 | - |
| Providence Newberg Medical Center | Newberg, OR | $296 | - | $394 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $296 | - | $394 | - |
| Providence St. Vincent Medical Center | Portland, OR | $296 | - | $394 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $332 | - | $442 | - |
| Providence Valdez Medical Center | Valdez, AK | $349 | - | $447 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $385 | - | $494 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $416 | - | $815 | - |
| Providence Alaska Medical Center | Anchorage, AK | $457 | - | $586 | - |
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.