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HCPCS A9567
TECHNETIUM TC 99M PENTETATE NEBULIZER SOLUTION - as described in hospitals' own price files.
7hospitals publishing a price
$248median cash price
$1,747median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Centralia Hospital | Centralia, WA | $179 | - | $344 | - |
| Providence St. Peter Hospital | Olympia, WA | $179 | - | $344 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $32.64 | $190 | $272 | $32.64 - $1,525 |
| Providence Hood River Memorial Hospital | Hood River, OR | $258 | - | $344 | - |
| Providence St. Vincent Medical Center | Portland, OR | $258 | - | $344 | - |
| Flowers Hospital | Dothan, AL | $349 | $1,747 | $2,330 | $349 - $2,330 |
| Medical Center Enterprise | Enterprise, AL | $248 | $2,027 | $2,758 | $248 - $2,758 |
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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