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HCPCS J0470
DIMERCAPRO 100MG INJ - as described in hospitals' own price files.
49hospitals publishing a price
$273median cash price
$235median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $22.46 | - | $128 | $21.82 - $128 |
| Medical Center Enterprise | Enterprise, AL | $12.54 | $61.91 | $139 | $12.54 - $139 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $73.42 | $74.92 | $74.92 | $73.42 - $74.92 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $82.61 | $84.30 | $84.30 | $82.61 - $84.30 |
| Medstar Montgomery Medical Center | Olney, MD | $96.11 | $98.07 | $98.07 | $96.11 - $98.07 |
| Northridge Hospital Medical Center | Northridge, CA | $103 | - | $382 | $43.00 - $382 |
| Merit Health Wesley | Hattiesburg, MS | $107 | $121 | $509 | $51.08 - $509 |
| South Texas Health System | Edinburg, TX | $806 | $136 | $1,074 | $59.81 - $859 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $138 | $140 | $140 | $138 - $140 |
| Mat-Su Regional Medical Center | Palmer, AK | $57.90 | $147 | $193 | $20.69 - $193 |
| Northeast Regional Medical Center | Kirksville, MO | $79.32 | $152 | $330 | $59.81 - $281 |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $155 | $636 | $76.32 - $34,344 |
| Corona Regional Medical Center | Corona, CA | - | $160 | $801 | $54.55 - $721 |
| Medstar Union Memorial Hospital | Baltimore, MD | $172 | $175 | $175 | $172 - $175 |
| Medstar Harbor Hospital | Baltimore, MD | $174 | $177 | $177 | $174 - $177 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $212 | $216 | $216 | $212 - $216 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $224 | - | $445 | $47.09 - $445 |
| Texoma Medical Center | Denison, TX | $1,088 | $253 | $1,451 | $58.68 - $1,088 |
| Temecula Valley Hospital | Temecula, CA | - | $256 | $908 | $54.55 - $817 |
| Orange County Global Medical Center | Santa Ana, CA | $263 | - | $506 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $263 | - | $506 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $263 | - | $506 | - |
| Dupont Hospital LLC | Fort Wayne, IN | $158 | $267 | $587 | $53.83 - $528 |
| Wellington Regional Medical Center | Wellington, FL | $361 | $271 | $902 | $135 - $568 |
| Bluffton Regional Medical Center | Bluffton, IN | $127 | $283 | $528 | $54.55 - $475 |
| San Francisco VA Medical Center | San Francisco, CA | $283 | - | $506 | - |
| San Mateo Medical Center | San Mateo, CA | $283 | - | $506 | - |
| Tri-City Medical Center | Oceanside, CA | $283 | - | $506 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $283 | - | $506 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $283 | - | $506 | - |
| Sutter Roseville Medical Center | Roseville, CA | $283 | - | $506 | - |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $301 | $1,253 | $59.81 - $1,002 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $315 | - | $899 | - |
| Western Arizona Regional Medical Center | Bullhead City, AZ | $123 | $316 | $1,026 | $53.56 - $974 |
| Northern Nevada Medical Center | Sparks, NV | - | $328 | $1,211 | $59.81 - $872 |
| Henderson Hospital | Henderson, NV | - | $328 | $1,253 | $59.81 - $1,002 |
| Dukes Memorial Hospital | Peru, IN | $364 | $339 | $727 | $59.81 - $727 |
| Dominican Hospital | Santa Cruz, CA | $350 | - | $791 | $49.79 - $672 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $400 | $1,000 | $67.70 - $790 |
| Aiken Regional Medical Center | Aiken, SC | $672 | $409 | $1,681 | $52.63 - $2,513 |
| George Washington Univ Hospital | Washington, DC | $555 | $430 | $1,387 | $54.55 - $1,040 |
| Flowers Hospital | Dothan, AL | $125 | $458 | $832 | $54.55 - $832 |
| Providence St. Joseph Hospital | Eureka, CA | $522 | - | $1,087 | - |
| Providence Mission Hospital | Mission Viejo, CA | $522 | - | $1,087 | - |
| Saint John'S Health Center | Santa Monica, CA | $609 | - | $1,739 | - |
| Providence Portland Medical Center | Portland, OR | $737 | - | $983 | - |
| Providence Alaska Medical Center | Anchorage, AK | $878 | - | $1,126 | - |
| Providence Holy Family Hospital | Spokane, WA | $1,406 | - | $2,008 | - |
| Providence Mount Carmel Hospital | Colville, WA | $1,406 | - | $2,008 | - |
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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