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HCPCS A9541
TC99M SULF COL- DOSE - as described in hospitals' own price files.
9hospitals publishing a price
$214median cash price
$798median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Centralia Hospital | Centralia, WA | $214 | - | $411 | - |
| Providence St. Peter Hospital | Olympia, WA | $214 | - | $411 | - |
| Providence St. Vincent Medical Center | Portland, OR | $308 | - | $411 | - |
| Grandview Medical Center | Birmingham, AL | $84.60 | $338 | $564 | $25.00 - $564 |
| Flowers Hospital | Dothan, AL | $71.47 | $357 | $476 | $25.00 - $476 |
| Crestwood Medical Center | Huntsville, AL | $183 | $752 | $1,017 | $25.00 - $1,098 |
| Mat-Su Regional Medical Center | Palmer, AK | $333 | $843 | $1,109 | $119 - $1,065 |
| Medical Center Enterprise | Enterprise, AL | $280 | $2,208 | $3,117 | $25.00 - $3,117 |
| Gadsden Regional Medical Center | Gadsden, AL | $568 | $3,281 | $4,735 | $25.00 - $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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