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HCPCS J1570

GANCICLOVIR SODIUM FOR INJ 500 MG - as described in hospitals' own price files.

33hospitals publishing a price
$187median cash price
$242median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$89.86-$257-
Gadsden Regional Medical CenterGadsden, AL$23.10$123$192$23.10 - $1,525
Providence Regional Medical Center EverettEverett, WA$132-$255-
St. Mary Medical CenterLong Beach, CA$134-$280-
Providence St. Jude Medical CenterFullerton, CA$155-$323-
Grandview Medical CenterBirmingham, AL$43.65$160$291$43.65 - $291
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$172-$337-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$173-$496-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$173-$496-
Kadlec Regional Medical CenterRichland, WA$181-$259-
Providence Holy Cross Medical CenterMission Hills, CA$182-$519-
Providence St. Joseph HospitalEureka, CA$183-$380-
Swedish Edmonds HospitalEdmonds, WA$187-$390-
Swedish Medical Center / Cherry HillSeattle, WA$187-$390-
Swedish IssaquahIssaquah, WA$187-$390-
Providence Queen Of The Valley Medical CenterNapa, CA$192-$377-
St. Patrick HospitalMissoula, MT$192-$240-
Providence St. Peter HospitalOlympia, WA$195-$376-
Providence Newberg Medical CenterNewberg, OR$209-$279-
Providence Centralia HospitalCentralia, WA$214-$412-
Mat-Su Regional Medical CenterPalmer, AK$91.80$242$306$32.80 - $306
Providence Hood River Memorial HospitalHood River, OR$243-$324-
Covenant Medical CenterLubbock, TX$263-$627-
Providence Saint Joseph Medical CtrBurbank, CA$264-$755-
Providence St. Vincent Medical CenterPortland, OR$370-$494-
Saint John'S Health CenterSanta Monica, CA$435-$1,244-
Crestwood Medical CenterHuntsville, AL$109$443$605$39.54 - $654
Providence Holy Family HospitalSpokane, WA$492-$703-
Providence Mount Carmel HospitalColville, WA$492-$703-
Providence Medford Medical CenterMedford, OR$526-$701-
Providence Portland Medical CenterPortland, OR$527-$703-
Providence Alaska Medical CenterAnchorage, AK$628-$805-
Flowers HospitalDothan, AL$239$1,162$1,592$32.01 - $1,592

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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