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HCPCS J1301
EDARAVONE INJ 30 MG/100ML (0.3 MG/ML) - as described in hospitals' own price files.
22hospitals publishing a price
$1,449median cash price
$19.00median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Orange County Global Medical Center | Santa Ana, CA | $1,055 | $19.00 | $2,030 | $19.00 - $32.00 |
| Los Angeles General Medical Center | Los Angeles, CA | $1,055 | $19.00 | $2,030 | $19.00 - $32.00 |
| San Francisco VA Medical Center | San Francisco, CA | $1,137 | $19.00 | $2,030 | $19.00 - $32.00 |
| San Mateo Medical Center | San Mateo, CA | $1,137 | $19.00 | $2,030 | $19.00 - $32.00 |
| Tri-City Medical Center | Oceanside, CA | $1,137 | $19.00 | $2,030 | $19.00 - $32.00 |
| Santa Clara Valley Medical Center | San Jose, CA | $1,137 | $19.00 | $2,030 | $19.00 - $32.00 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $1,137 | $19.00 | $2,030 | $19.00 - $32.00 |
| Lompoc Valley Medical Center | Lompoc, CA | $1,055 | $19.00 | $2,030 | $19.00 - $32.00 |
| Sutter Roseville Medical Center | Roseville, CA | $1,137 | $19.00 | $2,030 | $19.00 - $32.00 |
| Crestwood Medical Center | Huntsville, AL | $32.87 | $73.04 | $183 | $17.47 - $1,316 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $1,126 | - | $3,100 | $7.76 - $2,511 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $1,761 | - | $3,505 | $8.14 - $3,505 |
| Dominican Hospital | Santa Cruz, CA | $2,756 | - | $6,230 | $9.25 - $5,296 |
| Providence Queen Of The Valley Medical Center | Napa, CA | $2,871 | - | $5,629 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $3,100 | - | $6,458 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $3,100 | - | $6,458 | - |
| Swedish Issaquah | Issaquah, WA | $3,100 | - | $6,458 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $3,523 | - | $4,697 | - |
| Providence Newberg Medical Center | Newberg, OR | $3,523 | - | $4,697 | - |
| Providence Seaside Hospital | Seaside, OR | $3,523 | - | $4,697 | - |
| Providence Portland Medical Center | Portland, OR | $3,523 | - | $4,697 | - |
| St. Patrick Hospital | Missoula, MT | $4,582 | - | $5,727 | - |
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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