ACETAZOLAMIDE SODIUM FOR INJ 500 MG - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Medical Center Enterprise | Enterprise, AL | $4.86 | $37.80 | $54.00 | $4.86 - $54.00 |
| Swedish Edmonds Hospital | Edmonds, WA | $62.42 | - | $130 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $62.42 | - | $130 | - |
| Swedish Issaquah | Issaquah, WA | $74.51 | - | $155 | - |
| Saint John'S Health Center | Santa Monica, CA | $88.04 | - | $252 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $88.04 | - | $252 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $88.04 | - | $252 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $88.04 | - | $252 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $88.04 | - | $252 | - |
| Providence St. Joseph Hospital | Eureka, CA | $91.64 | - | $191 | - |
| St. Mary Medical Center | Long Beach, CA | $91.64 | - | $191 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $91.64 | - | $191 | - |
| Kadlec Regional Medical Center | Richland, WA | $92.13 | - | $132 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $105 | - | $300 | - |
| Providence Newberg Medical Center | Newberg, OR | $123 | - | $165 | - |
| Providence Seaside Hospital | Seaside, OR | $123 | - | $165 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $123 | - | $165 | - |
| Providence St. Vincent Medical Center | Portland, OR | $123 | - | $165 | - |
| Providence Portland Medical Center | Portland, OR | $123 | - | $165 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $123 | - | $165 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $131 | - | $256 | - |
| Petaluma Valley Hospital | Petaluma, CA | $131 | - | $256 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $131 | - | $256 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $131 | - | $256 | - |
| Providence Alaska Medical Center | Anchorage, AK | $145 | - | $185 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $147 | - | $197 | - |
| Providence St. Peter Hospital | Olympia, WA | $149 | - | $286 | - |
| Providence St. Joseph Medical Center | Polson, MT | $152 | - | $190 | - |
| St. Patrick Hospital | Missoula, MT | $152 | - | $190 | - |
| Providence Centralia Hospital | Centralia, WA | $162 | - | $311 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $167 | - | $239 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $173 | - | $221 | - |
| Mat-Su Regional Medical Center | Palmer, AK | $68.40 | $173 | $228 | $24.44 - $219 |
| Covenant Hospital Plainview | Plainview, TX | $180 | - | $428 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $180 | - | $428 | - |
| Covenant Medical Center | Lubbock, TX | $180 | - | $428 | - |
| Providence Medford Medical Center | Medford, OR | $201 | - | $269 | - |
| Grace Surgical Hospital | Lubbock, TX | $215 | - | $511 | - |
| Providence Holy Family Hospital | Spokane, WA | $250 | - | $357 | - |
| Providence Mount Carmel Hospital | Colville, WA | $250 | - | $357 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $250 | - | $357 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $64.74 | $345 | $540 | $26.23 - $1,525 |
| Grandview Medical Center | Birmingham, AL | $102 | $373 | $678 | $26.23 - $678 |
| Crestwood Medical Center | Huntsville, AL | $118 | $457 | $654 | $19.84 - $654 |
| Flowers Hospital | Dothan, AL | $200 | $973 | $1,333 | $24.04 - $1,333 |
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.