DRSG FOAM OPTIFM N-ADH 6X6IN - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $21.14 | - | $60.39 | - |
| Saint John'S Health Center | Santa Monica, CA | $21.14 | - | $60.39 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $21.14 | - | $60.39 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $21.14 | - | $60.39 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $21.14 | - | $60.39 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $21.14 | - | $60.39 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $28.25 | - | $37.67 | - |
| Providence Newberg Medical Center | Newberg, OR | $28.25 | - | $37.67 | - |
| Providence Seaside Hospital | Seaside, OR | $28.25 | - | $37.67 | - |
| Providence Medford Medical Center | Medford, OR | $28.25 | - | $37.67 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $28.25 | - | $37.67 | - |
| Providence St. Vincent Medical Center | Portland, OR | $28.25 | - | $37.67 | - |
| Providence Portland Medical Center | Portland, OR | $28.25 | - | $37.67 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $28.25 | - | $37.67 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $32.72 | - | $68.17 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $32.72 | - | $68.17 | - |
| Swedish Issaquah | Issaquah, WA | $32.72 | - | $68.17 | - |
| St. Mary Medical Center | Long Beach, CA | $38.46 | - | $80.13 | - |
| Healdsburg Hospital | Healdsburg, CA | $39.04 | - | $76.54 | - |
| Kadlec Regional Medical Center | Richland, WA | $39.35 | - | $56.21 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $40.13 | - | $78.69 | - |
| St. Patrick Hospital | Missoula, MT | $41.14 | - | $51.42 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $42.48 | - | $88.50 | - |
| Providence St. Joseph Hospital | Eureka, CA | $45.93 | - | $95.68 | - |
| Providence Centralia Hospital | Centralia, WA | $49.75 | - | $95.68 | - |
| Providence St. Peter Hospital | Olympia, WA | $49.75 | - | $95.68 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $50.23 | - | $71.76 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $51.85 | - | $102 | - |
| Providence Valdez Medical Center | Valdez, AK | $51.86 | - | $66.49 | - |
| Providence Regional Medical Center Everett | Everett, WA | $52.86 | - | $102 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $54.10 | - | $69.36 | - |
| Petaluma Valley Hospital | Petaluma, CA | $61.00 | - | $120 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $61.00 | - | $120 | - |
| Covenant Hospital Levelland | Levelland, TX | $65.30 | - | $155 | - |
| Covenant Hospital Plainview | Plainview, TX | $65.30 | - | $155 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $65.30 | - | $155 | - |
| Covenant Medical Center | Lubbock, TX | $65.30 | - | $155 | - |
| Grace Surgical Hospital | Lubbock, TX | $65.70 | - | $156 | - |
| Providence Mount Carmel Hospital | Colville, WA | $79.53 | - | $114 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $79.53 | - | $114 | - |
| Providence Holy Family Hospital | Spokane, WA | $84.51 | - | $121 | - |
| Providence Alaska Medical Center | Anchorage, AK | $88.62 | - | $114 | - |
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.