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HCPCS J1595
GLATIRAMER ACET 20MG - as described in hospitals' own price files.
59hospitals publishing a price
$417median cash price
$398median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Wellington Regional Medical Center | Wellington, FL | $64.40 | $53.13 | $161 | $24.15 - $170 |
| Temecula Valley Hospital | Temecula, CA | - | $57.60 | $128 | $32.00 - $265 |
| Ohiohealth Shelby Hospital | Shelby, OH | $119 | - | $183 | - |
| Providence Regional Medical Center Everett | Everett, WA | $145 | - | $278 | - |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $155 | $636 | $76.32 - $34,344 |
| Providence Mission Hospital | Mission Viejo, CA | $159 | - | $332 | - |
| Orange County Global Medical Center | Santa Ana, CA | $831 | $160 | $1,597 | $160 - $269 |
| Los Angeles General Medical Center | Los Angeles, CA | $831 | $160 | $1,597 | $160 - $269 |
| San Francisco VA Medical Center | San Francisco, CA | $417 | $160 | $745 | $160 - $269 |
| San Mateo Medical Center | San Mateo, CA | $417 | $160 | $745 | $160 - $269 |
| Tri-City Medical Center | Oceanside, CA | $417 | $160 | $745 | $160 - $269 |
| Santa Clara Valley Medical Center | San Jose, CA | $417 | $160 | $745 | $160 - $269 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $417 | $160 | $745 | $160 - $269 |
| Lompoc Valley Medical Center | Lompoc, CA | $831 | $160 | $1,597 | $160 - $269 |
| Sutter Roseville Medical Center | Roseville, CA | $417 | $160 | $745 | $160 - $269 |
| Doctors Hospital | Columbus, OH | $169 | - | $259 | - |
| Dublin Methodist Hospital | Dublin, OH | $169 | - | $259 | - |
| Grant Medical Center | Columbus, OH | $169 | - | $259 | - |
| Riverside Methodist Hospital | Columbus, OH | $169 | - | $259 | - |
| Grandview Medical Center | Birmingham, AL | $55.20 | $184 | $368 | $55.20 - $368 |
| Regional Hospital Of Scranton | Scranton, PA | $220 | $204 | $815 | $69.95 - $767 |
| Northern Nevada Medical Center | Sparks, NV | - | $209 | $773 | $50.31 - $557 |
| Providence Portland Medical Center | Portland, OR | $215 | - | $286 | - |
| St. Patrick Hospital | Missoula, MT | $216 | - | $270 | - |
| Corona Regional Medical Center | Corona, CA | - | $231 | $708 | $63.75 - $637 |
| George Washington Univ Hospital | Washington, DC | $247 | $233 | $617 | $63.75 - $463 |
| Methodist Hospital Of Sacramento | Sacramento, CA | $276 | - | $1,139 | $75.00 - $945 |
| Northridge Hospital Medical Center | Northridge, CA | $295 | - | $1,099 | $50.25 - $1,099 |
| Covenant Medical Center | Lubbock, TX | $313 | - | $745 | - |
| Northwest Health - Porter | Valparaiso, IN | $168 | $356 | $624 | $67.64 - $915 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $398 | $995 | $183 - $786 |
| Mercy Hospital Of Folsom | Folsom, CA | $425 | - | $1,139 | $35.80 - $934 |
| Providence Holy Family Hospital | Spokane, WA | $435 | - | $621 | - |
| North Okaloosa Medical Center | Crestview, FL | $233 | $436 | $1,295 | $68.49 - $28,309 |
| Dupont Hospital LLC | Fort Wayne, IN | $207 | $484 | $767 | $62.10 - $1,535 |
| Bluffton Regional Medical Center | Bluffton, IN | $166 | $518 | $690 | $58.65 - $1,382 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $547 | $2,281 | $50.31 - $1,825 |
| Henderson Hospital | Henderson, NV | - | $598 | $2,281 | $50.31 - $1,825 |
| Merit Health River Region | Vicksburg, MS | $756 | $641 | $4,201 | $156 - $3,683 |
| Providence St. Joseph Medical Center | Polson, MT | $647 | - | $808 | - |
| Dukes Memorial Hospital | Peru, IN | $476 | $654 | $951 | $67.64 - $3,368 |
| Providence St. Vincent Medical Center | Portland, OR | $717 | - | $957 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $852 | - | $2,435 | - |
| Providence Alaska Medical Center | Anchorage, AK | $855 | - | $1,096 | - |
| Merit Health Wesley | Hattiesburg, MS | $972 | $925 | $4,627 | $156 - $46,223 |
| Community Hospital Of San Bernardino | San Bernardino, CA | $977 | - | $2,513 | $58.19 - $2,513 |
| Providence Milwaukie Hospital | Milwaukie, OR | $1,032 | - | $1,376 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $253 | $1,225 | $2,112 | $118 - $2,112 |
| Grady Memorial Hospital | Delaware, OH | $1,639 | - | $2,521 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $1,651 | - | $4,717 | - |
| Flowers Hospital | Dothan, AL | $472 | $2,106 | $3,144 | $58.65 - $3,144 |
| South Texas Health System | Edinburg, TX | $16,284 | $2,764 | $21,712 | $99.10 - $17,370 |
| Medstar Harbor Hospital | Baltimore, MD | $5,583 | $5,697 | $5,697 | $5,583 - $5,697 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $6,809 | $6,948 | $6,948 | $6,809 - $6,948 |
| Medstar Montgomery Medical Center | Olney, MD | $7,220 | $7,367 | $7,367 | $7,220 - $7,367 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $7,857 | $8,018 | $8,018 | $7,857 - $8,018 |
| Medstar Union Memorial Hospital | Baltimore, MD | $9,086 | $9,272 | $9,272 | $9,086 - $9,272 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $9,555 | $9,750 | $9,750 | $9,555 - $9,750 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $11,002 | $11,226 | $11,226 | $11,002 - $11,226 |
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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