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HCPCS A9502
TECHNETIUM TC 99M TETROFOSMIN IV FOR SOLN KIT - as described in hospitals' own price files.
5hospitals publishing a price
$120median cash price
$3,061median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Centralia Hospital | Centralia, WA | $83.14 | - | $160 | - |
| Providence St. Peter Hospital | Olympia, WA | $83.14 | - | $160 | - |
| Providence St. Vincent Medical Center | Portland, OR | $120 | - | $160 | - |
| Grandview Medical Center | Birmingham, AL | $556 | $2,226 | $3,710 | $120 - $3,710 |
| Gadsden Regional Medical Center | Gadsden, AL | $675 | $3,896 | $5,622 | $120 - $5,622 |
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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