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HCPCS J1245
DIPYRIDAMOLE IV SOLN 5 MG/ML - as described in hospitals' own price files.
17hospitals publishing a price
$46.97median cash price
$28.60median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Gadsden Regional Medical Center | Gadsden, AL | $4.68 | $24.96 | $39.00 | $3.74 - $1,525 |
| Grandview Medical Center | Birmingham, AL | $7.80 | $28.60 | $52.00 | $3.74 - $52.00 |
| Providence St. Mary Medical Center | Walla Walla, WA | $30.00 | - | $42.86 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $33.31 | - | $95.17 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $33.31 | - | $95.17 | - |
| Providence St. Peter Hospital | Olympia, WA | $45.58 | - | $87.66 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $46.97 | - | $97.85 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $46.97 | - | $97.85 | - |
| Swedish Issaquah | Issaquah, WA | $46.97 | - | $97.85 | - |
| Covenant Medical Center | Lubbock, TX | $56.70 | - | $135 | - |
| Providence Holy Family Hospital | Spokane, WA | $70.66 | - | $101 | - |
| Providence Mount Carmel Hospital | Colville, WA | $70.66 | - | $101 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $70.66 | - | $101 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $71.09 | - | $94.78 | - |
| Providence Newberg Medical Center | Newberg, OR | $71.09 | - | $94.78 | - |
| Crestwood Medical Center | Huntsville, AL | $23.53 | $91.50 | $131 | $8.41 - $131 |
| Providence Alaska Medical Center | Anchorage, AK | $109 | - | $139 | - |
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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