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HCPCS J9017

ARSENIC TRIOXIDE IV SOLN 10 MG/10ML (1 MG/ML) - as described in hospitals' own price files.

22hospitals publishing a price
$439median cash price
$106median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Providence St. Peter HospitalOlympia, WA$97.38-$187-
Crestwood Medical CenterHuntsville, AL$27.22$106$151$8.15 - $294
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$116-$331-
Providence St. Vincent Medical CenterPortland, OR$132-$175-
Swedish Edmonds HospitalEdmonds, WA$164-$341-
Swedish Medical Center / Cherry HillSeattle, WA$164-$341-
Swedish IssaquahIssaquah, WA$164-$341-
Providence St. Jude Medical CenterFullerton, CA$181-$377-
Providence St. Joseph HospitalEureka, CA$192-$401-
Providence Regional Medical Center EverettEverett, WA$362-$696-
St. Patrick HospitalMissoula, MT$437-$546-
Providence Queen Of The Valley Medical CenterNapa, CA$441-$866-
Providence Portland Medical CenterPortland, OR$641-$855-
Covenant Medical CenterLubbock, TX$856-$2,039-
Providence Saint Joseph Medical CtrBurbank, CA$1,205-$3,444-
Providence Holy Family HospitalSpokane, WA$1,753-$2,504-
Saint John'S Health CenterSanta Monica, CA$2,315-$6,615-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$2,315-$6,615-
Providence Alaska Medical CenterAnchorage, AK$3,452-$4,426-
Kadlec Regional Medical CenterRichland, WA$3,931-$5,615-
Providence Holy Cross Medical CenterMission Hills, CA$4,253-$12,152-
Providence Hood River Memorial HospitalHood River, OR$6,273-$8,364-

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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