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HCPCS 96381
HC PR ADMIN RSV MONOC ANTB IM CDM - as described in hospitals' own price files.
5hospitals publishing a price
$29.60median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Levelland | Levelland, TX | $5.78 | - | $13.75 | - |
| Covenant Hospital Plainview | Plainview, TX | $5.78 | - | $13.75 | - |
| Providence St. Joseph Medical Center | Polson, MT | $29.60 | - | $37.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $57.00 | - | $76.00 | - |
| Providence Seaside Hospital | Seaside, OR | $57.00 | - | $76.00 | - |
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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