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HCPCS J0216
ALFENTANIL HCL IV SOLN 1000 MCG/2ML (500 MCG/ML) (BASE EQ),ALFENTANIL HCL IV SOLN 2500 MCG/5ML (500 MCG/ML) (BASE EQ) - as described in hospitals' own price files.
11hospitals publishing a price
$54.45median cash price
$159median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Holy Cross Medical Center | Mission Hills, CA | $43.75 | - | $125 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $43.75 | - | $125 | - |
| St. Patrick Hospital | Missoula, MT | $45.56 | - | $56.95 | - |
| Providence Regional Medical Center Everett | Everett, WA | $47.07 | - | $90.51 | - |
| Covenant Hospital Plainview | Plainview, TX | $57.96 | - | $138 | - |
| St. Mary Medical Center | Long Beach, CA | $60.00 | - | $125 | - |
| Providence Newberg Medical Center | Newberg, OR | $73.22 | - | $97.62 | - |
| Providence Holy Family Hospital | Spokane, WA | $75.71 | - | $108 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $75.71 | - | $108 | - |
| Flowers Hospital | Dothan, AL | $21.25 | $106 | $142 | $2.56 - $142 |
| Crestwood Medical Center | Huntsville, AL | $54.45 | $212 | $303 | $2.57 - $303 |
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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