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HCPCS A9503
TC99M MEDRO TO 30MCI - as described in hospitals' own price files.
10hospitals publishing a price
$97.16median cash price
$539median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence St. Vincent Medical Center | Portland, OR | $75.00 | - | $100 | - |
| Providence Centralia Hospital | Centralia, WA | $90.88 | - | $175 | - |
| Providence St. Peter Hospital | Olympia, WA | $90.88 | - | $175 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $131 | - | $175 | - |
| Flowers Hospital | Dothan, AL | $31.11 | $156 | $207 | $1.28 - $207 |
| Crestwood Medical Center | Huntsville, AL | $55.61 | $218 | $309 | $1.28 - $309 |
| Mat-Su Regional Medical Center | Palmer, AK | $104 | $264 | $347 | $37.20 - $333 |
| Medical Center Enterprise | Enterprise, AL | $103 | $814 | $1,149 | $1.28 - $1,149 |
| Grandview Medical Center | Birmingham, AL | $290 | $1,159 | $1,931 | $1.28 - $1,931 |
| Gadsden Regional Medical Center | Gadsden, AL | $568 | $3,281 | $4,735 | $1.28 - $4,735 |
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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