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HCPCS C1765

SEPRAFILM ADHESION BARRIER 5X6 - as described in hospitals' own price files.

48hospitals publishing a price
$1,139median cash price
$1,809median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$553-$1,580-
Gadsden Regional Medical CenterGadsden, AL$66.79$557$557$55.66 - $2,416
Saint John'S Health CenterSanta Monica, CA$569-$1,627-
Providence Hood River Memorial HospitalHood River, OR$751-$1,002-
Providence Newberg Medical CenterNewberg, OR$751-$1,002-
Providence Seaside HospitalSeaside, OR$751-$1,002-
Providence Medford Medical CenterMedford, OR$751-$1,002-
Providence Milwaukie HospitalMilwaukie, OR$751-$1,002-
Providence St. Vincent Medical CenterPortland, OR$751-$1,002-
Providence Portland Medical CenterPortland, OR$751-$1,002-
Providence Willamette Falls Medical CenterOregon City, OR$751-$1,002-
Flowers HospitalDothan, AL$84.62$774$564$56.41 - $10,985
Healdsburg HospitalHealdsburg, CA$797-$1,563-
Kadlec Regional Medical CenterRichland, WA$893-$1,275-
St. Mary Medical CenterLong Beach, CA$985-$2,052-
Providence St. Jude Medical CenterFullerton, CA$1,089-$2,269-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$1,113-$3,179-
Providence Holy Cross Medical CenterMission Hills, CA$1,113-$3,179-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$1,113-$3,179-
Providence Saint Joseph Medical CtrBurbank, CA$1,113-$3,179-
Petaluma Valley HospitalPetaluma, CA$1,139-$2,234-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$1,139-$2,234-
Providence Queen Of The Valley Medical CenterNapa, CA$1,156-$2,266-
Covenant Hospital LevellandLevelland, TX$1,158-$2,756-
Covenant Hospital PlainviewPlainview, TX$1,158-$2,756-
Covenant Health Hobbs HospitalHobbs, NM$1,158-$2,756-
Covenant Medical CenterLubbock, TX$1,158-$2,756-
Providence St. Joseph HospitalEureka, CA$1,176-$2,451-
Providence Redwood Memorial HospitalFortuna, CA$1,221-$2,393-
Providence Valdez Medical CenterValdez, AK$1,261-$1,616-
St. Patrick HospitalMissoula, MT$1,272-$1,590-
Grace Surgical HospitalLubbock, TX$1,332-$3,172-
Providence Mount Carmel HospitalColville, WA$1,507-$2,153-
Providence St. Joseph HospitalChewelah, WA$1,507-$2,153-
Providence Kodiak Island Medical CtrKodiak, AK$1,513-$1,940-
Providence St. Mary Medical CenterWalla Walla, WA$1,576-$2,252-
Providence Holy Family HospitalSpokane, WA$1,580-$2,257-
Mat-Su Regional Medical CenterPalmer, AK$509$1,612$1,697$182 - $3,945
Swedish Edmonds HospitalEdmonds, WA$1,637-$3,411-
Swedish Medical Center / Cherry HillSeattle, WA$1,637-$3,411-
Swedish IssaquahIssaquah, WA$1,637-$3,411-
Medical Center EnterpriseEnterprise, AL$241$2,006$2,675$241 - $2,675
Providence Alaska Medical CenterAnchorage, AK$2,402-$3,080-
Grandview Medical CenterBirmingham, AL$866$2,500$5,775$500 - $5,775
Providence Centralia HospitalCentralia, WA$2,549-$4,902-
Providence St. Peter HospitalOlympia, WA$2,549-$4,902-
Providence Regional Medical Center EverettEverett, WA$2,700-$5,193-
Crestwood Medical CenterHuntsville, AL$1,212$3,097$6,734$364 - $6,734

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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