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HCPCS A9539
TC99M PENTETAT-DOSE - as described in hospitals' own price files.
8hospitals publishing a price
$226median cash price
$454median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Crestwood Medical Center | Huntsville, AL | $47.92 | $187 | $266 | $25.00 - $266 |
| Providence St. Vincent Medical Center | Portland, OR | $265 | - | $353 | - |
| Grandview Medical Center | Birmingham, AL | $70.95 | $284 | $473 | $25.00 - $473 |
| Providence Centralia Hospital | Centralia, WA | $347 | - | $667 | - |
| Providence St. Peter Hospital | Olympia, WA | $347 | - | $667 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $500 | - | $667 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $107 | $624 | $896 | $25.00 - $1,525 |
| Flowers Hospital | Dothan, AL | $187 | $933 | $1,244 | $25.00 - $1,244 |
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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