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HCPCS C1763

OFF CONTRACT - GRAFT SYNTHETIC TISSUE SMALL ANGLE RIGHT 65X35X3MM STRL WRAPAROUND DESIGN POLYETHYLENE POROUS MANDIBLE MEDPOR RZ - as described in hospitals' own price files.

48hospitals publishing a price
$4,316median cash price
$13,392median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
St. Patrick HospitalMissoula, MT$155-$194-
Medical Center EnterpriseEnterprise, AL$55.14$460$613$55.14 - $613
Providence Redwood Memorial HospitalFortuna, CA$731-$1,434-
Providence St. Vincent Medical CenterPortland, OR$941-$1,255-
Providence Portland Medical CenterPortland, OR$941-$1,255-
St. Mary Medical CenterLong Beach, CA$1,484-$3,092-
Providence Queen Of The Valley Medical CenterNapa, CA$1,529-$2,999-
Petaluma Valley HospitalPetaluma, CA$1,599-$3,136-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$1,599-$3,136-
Providence St. Jude Medical CenterFullerton, CA$1,637-$3,410-
Providence St. Joseph HospitalEureka, CA$1,752-$3,650-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$3,234-$9,240-
Saint John'S Health CenterSanta Monica, CA$3,234-$9,240-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$3,234-$9,240-
Providence Holy Cross Medical CenterMission Hills, CA$3,234-$9,240-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$3,234-$9,240-
Providence Saint Joseph Medical CtrBurbank, CA$3,234-$9,240-
Healdsburg HospitalHealdsburg, CA$3,748-$7,350-
Kadlec Regional Medical CenterRichland, WA$3,807-$5,439-
Providence Valdez Medical CenterValdez, AK$4,144-$5,313-
Providence Hood River Memorial HospitalHood River, OR$4,316-$5,754-
Providence Newberg Medical CenterNewberg, OR$4,316-$5,754-
Providence Seaside HospitalSeaside, OR$4,316-$5,754-
Providence Medford Medical CenterMedford, OR$4,316-$5,754-
Providence Milwaukie HospitalMilwaukie, OR$4,316-$5,754-
Providence Willamette Falls Medical CenterOregon City, OR$4,316-$5,754-
Providence Mount Carmel HospitalColville, WA$4,469-$6,384-
Providence St. Joseph HospitalChewelah, WA$4,469-$6,384-
Swedish Edmonds HospitalEdmonds, WA$4,596-$9,576-
Swedish Medical Center / Cherry HillSeattle, WA$4,596-$9,576-
Swedish IssaquahIssaquah, WA$4,596-$9,576-
Providence Holy Family HospitalSpokane, WA$4,679-$6,684-
Covenant Hospital LevellandLevelland, TX$4,807-$11,445-
Covenant Hospital PlainviewPlainview, TX$4,807-$11,445-
Covenant Health Hobbs HospitalHobbs, NM$4,807-$11,445-
Covenant Medical CenterLubbock, TX$4,807-$11,445-
Providence St. Mary Medical CenterWalla Walla, WA$5,178-$7,398-
Providence Kodiak Island Medical CtrKodiak, AK$5,618-$7,203-
Grace Surgical HospitalLubbock, TX$6,323-$15,055-
Providence Regional Medical Center EverettEverett, WA$7,349-$14,133-
Providence Centralia HospitalCentralia, WA$7,655-$14,721-
Providence St. Peter HospitalOlympia, WA$7,655-$14,721-
Providence Alaska Medical CenterAnchorage, AK$8,845-$11,340-
Flowers HospitalDothan, AL$998$11,703$6,652$364 - $97,500
Gadsden Regional Medical CenterGadsden, AL$5,995$12,523$49,958$139 - $60,783
Mat-Su Regional Medical CenterPalmer, AK$1,272$14,260$4,240$455 - $45,076
Crestwood Medical CenterHuntsville, AL$18,000$24,766$100,000$411 - $100,000
Grandview Medical CenterBirmingham, AL$15,000$25,494$99,999$293 - $99,999

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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