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HCPCS A9500
TC99M SESTA - DOSE - as described in hospitals' own price files.
10hospitals publishing a price
$169median cash price
$1,285median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Centralia Hospital | Centralia, WA | $69.53 | - | $134 | - |
| Providence St. Peter Hospital | Olympia, WA | $69.53 | - | $134 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $93.60 | - | $134 | - |
| Providence St. Vincent Medical Center | Portland, OR | $100 | - | $134 | - |
| Crestwood Medical Center | Huntsville, AL | $189 | $739 | $1,050 | $122 - $1,050 |
| Flowers Hospital | Dothan, AL | $150 | $748 | $997 | $122 - $997 |
| Mat-Su Regional Medical Center | Palmer, AK | $452 | $1,146 | $1,508 | $162 - $1,448 |
| Grandview Medical Center | Birmingham, AL | $356 | $1,424 | $2,374 | $122 - $2,374 |
| Medical Center Enterprise | Enterprise, AL | $248 | $1,955 | $2,760 | $122 - $2,760 |
| Gadsden Regional Medical Center | Gadsden, AL | $541 | $3,122 | $4,505 | $122 - $4,505 |
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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