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HCPCS A4264

NO USAGE - IMP BAND RING FALLOPIAN - as described in hospitals' own price files.

42hospitals publishing a price
$245median cash price
-median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Saint John'S Health CenterSanta Monica, CA$98.93-$283-
Providence Newberg Medical CenterNewberg, OR$124-$166-
Providence Seaside HospitalSeaside, OR$124-$166-
Providence Medford Medical CenterMedford, OR$124-$166-
Providence Milwaukie HospitalMilwaukie, OR$124-$166-
Providence Willamette Falls Medical CenterOregon City, OR$124-$166-
Kadlec Regional Medical CenterRichland, WA$149-$213-
St. Patrick HospitalMissoula, MT$152-$189-
Healdsburg HospitalHealdsburg, CA$159-$311-
Providence St. Mary Medical CenterWalla Walla, WA$172-$246-
St. Mary Medical CenterLong Beach, CA$178-$371-
Providence Queen Of The Valley Medical CenterNapa, CA$190-$372-
Providence St. Jude Medical CenterFullerton, CA$197-$410-
Providence Mount Carmel HospitalColville, WA$198-$283-
Providence St. Joseph HospitalChewelah, WA$198-$283-
Providence Holy Family HospitalSpokane, WA$209-$298-
Providence St. Joseph HospitalEureka, CA$215-$448-
Providence Centralia HospitalCentralia, WA$221-$426-
Providence St. Peter HospitalOlympia, WA$221-$426-
Providence Kodiak Island Medical CtrKodiak, AK$245-$314-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$245-$480-
Providence Valdez Medical CenterValdez, AK$245-$314-
Covenant Hospital LevellandLevelland, TX$251-$598-
Covenant Hospital PlainviewPlainview, TX$251-$598-
Covenant Health Hobbs HospitalHobbs, NM$251-$598-
Covenant Medical CenterLubbock, TX$251-$598-
Grace Surgical HospitalLubbock, TX$253-$603-
Providence Alaska Medical CenterAnchorage, AK$407-$521-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$2,174-$6,210-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$2,174-$6,210-
Providence Holy Cross Medical CenterMission Hills, CA$2,174-$6,210-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$2,174-$6,210-
Providence Saint Joseph Medical CtrBurbank, CA$2,174-$6,210-
Providence Redwood Memorial HospitalFortuna, CA$3,084-$6,048-
Swedish Edmonds HospitalEdmonds, WA$3,085-$6,426-
Swedish Medical Center / Cherry HillSeattle, WA$3,085-$6,426-
Swedish IssaquahIssaquah, WA$3,085-$6,426-
Providence Hood River Memorial HospitalHood River, OR$3,816-$5,088-
Providence St. Vincent Medical CenterPortland, OR$3,816-$5,088-
Providence Portland Medical CenterPortland, OR$3,816-$5,088-
Providence Regional Medical Center EverettEverett, WA$5,085-$9,778-
Petaluma Valley HospitalPetaluma, CA$5,869-$11,507-

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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