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HCPCS J0401
ARIPIPRAZOLE IM FOR ER SUSP PREFILLED SYRINGE 300 MG - as described in hospitals' own price files.
16hospitals publishing a price
$6.95median cash price
$15.95median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence St. Joseph Hospital | Eureka, CA | $0.00 | - | $0.01 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $0.00 | - | $0.01 | - |
| Providence Alaska Medical Center | Anchorage, AK | $0.01 | - | $0.01 | - |
| Providence St. Peter Hospital | Olympia, WA | $0.01 | - | $0.01 | - |
| Providence Seaside Hospital | Seaside, OR | $1.69 | - | $2.25 | - |
| Providence St. Joseph Medical Center | Polson, MT | $5.60 | - | $7.00 | - |
| Providence Regional Medical Center Everett | Everett, WA | $7.28 | - | $14.00 | - |
| Mat-Su Regional Medical Center | Palmer, AK | $6.00 | $15.20 | $20.00 | $2.14 - $20.00 |
| Crestwood Medical Center | Huntsville, AL | $7.18 | $15.95 | $39.87 | $7.18 - $2,147 |
| Gadsden Regional Medical Center | Gadsden, AL | $6.72 | $26.12 | $56.00 | $6.72 - $2,028 |
| Covenant Hospital Plainview | Plainview, TX | $1,397 | - | $3,327 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $4,497 | - | $5,995 | - |
| Providence Holy Family Hospital | Spokane, WA | $5,474 | - | $7,820 | - |
| Providence Portland Medical Center | Portland, OR | $6,279 | - | $8,372 | - |
| St. Patrick Hospital | Missoula, MT | $6,895 | - | $8,618 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $7,514 | - | $21,468 | - |
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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