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HCPCS J0742
IMIPEN-CILASTAT-RELEBACT FOR IV SOLN 1.25 GM (500-500-250MG) - as described in hospitals' own price files.
6hospitals publishing a price
$791median cash price
$8.39median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Flowers Hospital | Dothan, AL | $1.51 | $6.05 | $10.08 | $1.51 - $221 |
| Gadsden Regional Medical Center | Gadsden, AL | $2.76 | $10.73 | $23.00 | $2.45 - $1,525 |
| Providence Holy Family Hospital | Spokane, WA | $783 | - | $1,119 | - |
| St. Patrick Hospital | Missoula, MT | $798 | - | $998 | - |
| St. Mary Medical Center | Long Beach, CA | $921 | - | $1,919 | - |
| Providence St. Vincent Medical Center | Portland, OR | $1,376 | - | $1,835 | - |
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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