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HCPCS J9120
DACTINOMYCIN FOR INJ 0.5 MG - as described in hospitals' own price files.
55hospitals publishing a price
$2,757median cash price
$890median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Wellington Regional Medical Center | Wellington, FL | $107 | $169 | $268 | $69.41 - $2,877 |
| Temecula Valley Hospital | Temecula, CA | - | $170 | $189 | $30.34 - $2,136 |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $172 | $636 | $76.32 - $34,344 |
| Orange County Global Medical Center | Santa Ana, CA | $4,418 | $303 | $8,496 | $303 - $509 |
| Los Angeles General Medical Center | Los Angeles, CA | $4,418 | $303 | $8,496 | $303 - $509 |
| San Francisco VA Medical Center | San Francisco, CA | $4,758 | $303 | $8,496 | $303 - $509 |
| San Mateo Medical Center | San Mateo, CA | $4,758 | $303 | $8,496 | $303 - $509 |
| Tri-City Medical Center | Oceanside, CA | $4,758 | $303 | $8,496 | $303 - $509 |
| Santa Clara Valley Medical Center | San Jose, CA | $4,758 | $303 | $8,496 | $303 - $509 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $4,758 | $303 | $8,496 | $303 - $509 |
| Lompoc Valley Medical Center | Lompoc, CA | $4,418 | $303 | $8,496 | $303 - $509 |
| Sutter Roseville Medical Center | Roseville, CA | $4,758 | $303 | $8,496 | $303 - $509 |
| Corona Regional Medical Center | Corona, CA | - | $390 | $190 | $29.21 - $855 |
| Providence Mission Hospital | Mission Viejo, CA | $537 | - | $1,119 | - |
| Providence St. Joseph Hospital | Eureka, CA | $580 | - | $1,208 | - |
| South Texas Health System | Edinburg, TX | $3,750 | $677 | $5,000 | $324 - $4,000 |
| Milton S Hershey Medical Center | Hershey, PA | $517 | $819 | $1,560 | $281 - $1,248 |
| Penn State Health St. Joseph | Reading, PA | $448 | $841 | $1,724 | $70.26 - $1,379 |
| Henderson Hospital | Henderson, NV | - | $878 | $6,168 | $303 - $4,934 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $902 | $6,168 | $303 - $4,934 |
| Ohiohealth Shelby Hospital | Shelby, OH | $968 | - | $1,490 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $997 | - | $2,076 | - |
| Northern Nevada Medical Center | Sparks, NV | - | $1,000 | $5,279 | $303 - $3,801 |
| Swedish Edmonds Hospital | Edmonds, WA | $1,074 | - | $2,238 | - |
| Kadlec Regional Medical Center | Richland, WA | $1,164 | - | $1,663 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $1,192 | - | $3,407 | - |
| Texoma Medical Center | Denison, TX | $5,585 | $1,269 | $7,447 | $329 - $5,585 |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $1,295 | - | $3,700 | - |
| George Washington Univ Hospital | Washington, DC | $1,896 | $1,384 | $4,741 | $286 - $3,556 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $1,582 | $1,615 | $1,615 | $1,582 - $1,615 |
| Chi-St Vincent Infirmary | Little Rock, AR | $1,685 | - | $6,567 | $10.54 - $3,612 |
| Medstar Harbor Hospital | Baltimore, MD | $1,683 | $1,717 | $1,717 | $1,683 - $1,717 |
| Medstar Montgomery Medical Center | Olney, MD | $1,694 | $1,729 | $1,729 | $1,694 - $1,729 |
| Providence Alaska Medical Center | Anchorage, AK | $1,752 | - | $2,246 | - |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $1,746 | $1,781 | $1,781 | $1,746 - $1,781 |
| Regional Hospital Of Scranton | Scranton, PA | $2,685 | $2,287 | $9,943 | $282 - $9,357 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $2,288 | $5,721 | $345 - $4,520 |
| Medstar Union Memorial Hospital | Baltimore, MD | $2,307 | $2,354 | $2,354 | $2,307 - $2,354 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $2,555 | $2,607 | $2,607 | $2,555 - $2,607 |
| Providence St. Mary Medical Center | Walla Walla, WA | $2,609 | - | $3,728 | - |
| Providence St. Vincent Medical Center | Portland, OR | $2,829 | - | $3,773 | - |
| Medstar Good Samaritan Hospital | Baltimore, MD | $3,008 | $3,069 | $3,069 | $3,008 - $3,069 |
| Providence Portland Medical Center | Portland, OR | $3,333 | - | $4,445 | - |
| Dupont Hospital LLC | Fort Wayne, IN | $2,291 | $3,861 | $8,485 | $254 - $7,636 |
| Doctors Hospital | Columbus, OH | $3,912 | - | $6,019 | - |
| Dublin Methodist Hospital | Dublin, OH | $3,912 | - | $6,019 | - |
| Grant Medical Center | Columbus, OH | $3,912 | - | $6,019 | - |
| Riverside Methodist Hospital | Columbus, OH | $3,912 | - | $6,019 | - |
| Bluffton Regional Medical Center | Bluffton, IN | $1,832 | $4,092 | $7,634 | $282 - $6,871 |
| Dukes Memorial Hospital | Peru, IN | $5,258 | $4,902 | $10,515 | $595 - $10,515 |
| Plains Regional Medical Center | Clovis, NM | $3,077 | $5,858 | $11,396 | $282 - $10,028 |
| Providence Holy Family Hospital | Spokane, WA | $6,233 | - | $8,905 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $6,973 | - | $14,526 | - |
| Swedish Issaquah | Issaquah, WA | $6,973 | - | $14,526 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $8,142 | - | $23,264 | - |
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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