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HCPCS 99080
HC PR ED 99080 SPECIAL REPORTS OR FORMS CDM - as described in hospitals' own price files.
13hospitals publishing a price
$42.75median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | $14.70 | - | $35.00 | - |
| Providence Alaska Medical Center | Anchorage, AK | $24.18 | - | $31.00 | - |
| Providence Mount Carmel Hospital | Colville, WA | $35.00 | - | $50.00 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $35.00 | - | $50.00 | - |
| Providence Medford Medical Center | Medford, OR | $40.50 | - | $54.00 | - |
| Providence Newberg Medical Center | Newberg, OR | $42.75 | - | $57.00 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $42.75 | - | $57.00 | - |
| Providence St. Vincent Medical Center | Portland, OR | $42.75 | - | $57.00 | - |
| Providence Portland Medical Center | Portland, OR | $42.75 | - | $57.00 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $42.75 | - | $57.00 | - |
| Providence Seaside Hospital | Seaside, OR | $49.50 | - | $66.00 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $71.25 | - | $95.00 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $566 | - | $808 | - |
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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