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HCPCS 96376

HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH EA SEQL SBST/DRUG FAC CDM - as described in hospitals' own price files.

44hospitals publishing a price
$133median cash price
-median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Swedish Edmonds HospitalEdmonds, WA$14.88-$31.00-
Swedish Medical Center / Cherry HillSeattle, WA$43.20-$90.00-
Swedish IssaquahIssaquah, WA$43.20-$90.00-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$63.70-$182-
Providence Redwood Memorial HospitalFortuna, CA$68.34-$134-
Providence St. Jude Medical CenterFullerton, CA$83.52-$174-
Saint John'S Health CenterSanta Monica, CA$100-$286-
Providence Portland Medical CenterPortland, OR$101-$135-
Providence Willamette Falls Medical CenterOregon City, OR$101-$135-
Covenant Hospital PlainviewPlainview, TX$104-$248-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$110-$216-
Providence Centralia HospitalCentralia, WA$112-$215-
Providence St. Peter HospitalOlympia, WA$112-$215-
St. Patrick HospitalMissoula, MT$115-$144-
Providence Medford Medical CenterMedford, OR$116-$155-
Covenant Health Hobbs HospitalHobbs, NM$118-$282-
Providence Newberg Medical CenterNewberg, OR$121-$161-
Providence Seaside HospitalSeaside, OR$121-$161-
Providence Milwaukie HospitalMilwaukie, OR$121-$161-
Providence St. Vincent Medical CenterPortland, OR$121-$161-
Healdsburg HospitalHealdsburg, CA$126-$247-
Providence Hood River Memorial HospitalHood River, OR$130-$174-
Providence St. Joseph HospitalEureka, CA$136-$283-
Providence St. Joseph HospitalChewelah, WA$143-$204-
Petaluma Valley HospitalPetaluma, CA$148-$291-
Covenant Hospital LevellandLevelland, TX$149-$354-
Providence Mount Carmel HospitalColville, WA$155-$221-
Providence Saint Joseph Medical CtrBurbank, CA$156-$447-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$168-$480-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$168-$480-
Providence St. Joseph Medical CenterPolson, MT$177-$221-
Providence Holy Cross Medical CenterMission Hills, CA$186-$532-
Providence Holy Family HospitalSpokane, WA$190-$271-
Providence St. Mary Medical CenterWalla Walla, WA$190-$271-
Providence Seward HospitalSeward, AK$196-$251-
Providence Regional Medical Center EverettEverett, WA$201-$386-
Kadlec Regional Medical CenterRichland, WA$221-$316-
Grace Surgical HospitalLubbock, TX$229-$545-
Covenant Medical CenterLubbock, TX$278-$663-
Providence Valdez Medical CenterValdez, AK$330-$423-
St. Mary Medical CenterLong Beach, CA$369-$769-
Providence Queen Of The Valley Medical CenterNapa, CA$370-$725-
Providence Kodiak Island Medical CtrKodiak, AK$385-$494-
Providence Alaska Medical CenterAnchorage, 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.

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