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HCPCS J0840
CROTALIDAE POLYVALENT IMMUNE FAB (OVINE) FOR IV INFUSION - as described in hospitals' own price files.
30hospitals publishing a price
$3,841median cash price
$6,560median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| St. Mary Medical Center | Long Beach, CA | $2,814 | - | $5,863 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $2,814 | - | $5,863 | - |
| Healdsburg Hospital | Healdsburg, CA | $2,882 | - | $5,651 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $2,882 | - | $5,651 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $2,882 | - | $5,651 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $2,882 | - | $5,651 | - |
| St. Patrick Hospital | Missoula, MT | $3,199 | - | $3,998 | - |
| Providence Mount Carmel Hospital | Colville, WA | $3,349 | - | $4,784 | - |
| Medical Center Enterprise | Enterprise, AL | $1,023 | $3,410 | $11,368 | $1,023 - $10,231 |
| Providence St. Joseph Hospital | Eureka, CA | $3,521 | - | $7,335 | - |
| Petaluma Valley Hospital | Petaluma, CA | $3,596 | - | $7,051 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $3,841 | - | $5,121 | - |
| Providence Medford Medical Center | Medford, OR | $3,841 | - | $5,121 | - |
| Providence St. Vincent Medical Center | Portland, OR | $3,841 | - | $5,121 | - |
| Providence Holy Family Hospital | Spokane, WA | $4,190 | - | $5,986 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $4,508 | - | $6,440 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $4,596 | - | $13,132 | - |
| Saint John'S Health Center | Santa Monica, CA | $4,596 | - | $13,132 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $4,596 | - | $13,132 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $4,596 | - | $13,132 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $4,596 | - | $13,132 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $4,596 | - | $13,132 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $2,439 | $5,894 | $20,325 | $1,525 - $17,276 |
| Grandview Medical Center | Birmingham, AL | $2,460 | $6,560 | $16,400 | $1,762 - $14,760 |
| Crestwood Medical Center | Huntsville, AL | $3,473 | $7,138 | $19,293 | $1,737 - $16,399 |
| Covenant Hospital Levelland | Levelland, TX | $7,732 | - | $18,408 | - |
| Covenant Hospital Plainview | Plainview, TX | $7,732 | - | $18,408 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $7,732 | - | $18,408 | - |
| Covenant Medical Center | Lubbock, TX | $7,732 | - | $18,408 | - |
| Flowers Hospital | Dothan, AL | $3,885 | $12,950 | $25,899 | $1,762 - $25,899 |
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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