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HCPCS A9572
IN-111 PENTETRE-DOSE - as described in hospitals' own price files.
10hospitals publishing a price
$11,901median cash price
$2,424median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Flowers Hospital | Dothan, AL | $126 | $629 | $838 | $126 - $838 |
| Gadsden Regional Medical Center | Gadsden, AL | $413 | $2,402 | $3,438 | $413 - $3,438 |
| Grandview Medical Center | Birmingham, AL | $596 | $2,424 | $3,974 | $596 - $3,974 |
| Mat-Su Regional Medical Center | Palmer, AK | $3,632 | $9,200 | $12,105 | $1,298 - $11,621 |
| Providence St. Peter Hospital | Olympia, WA | $12,118 | - | $23,305 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $16,313 | - | $23,305 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $17,479 | - | $23,305 | - |
| Providence St. Vincent Medical Center | Portland, OR | $17,479 | - | $23,305 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $17,479 | - | $23,305 | - |
| Crestwood Medical Center | Huntsville, AL | $11,684 | $39,985 | $64,910 | $2,001 - $64,910 |
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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