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HCPCS L8691
OFF CONTRACT - PROC OI SND BONEBRDG SAMBA2 RT - as described in hospitals' own price files.
69hospitals publishing a price
$7,928median cash price
$6,001median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Crestwood Medical Center | Huntsville, AL | $83.29 | $455 | $463 | $83.29 - $694 |
| Penn State Health Hampden Medical Center | Enola, PA | $4,151 | $2,359 | $13,189 | $1,759 - $10,551 |
| Penn State Health St. Joseph | Reading, PA | $3,430 | $2,359 | $13,189 | $1,759 - $10,551 |
| Milton S Hershey Medical Center | Hershey, PA | $4,370 | $2,374 | $13,189 | $1,759 - $10,551 |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $3,151 | $2,587 | $13,189 | $1,759 - $10,551 |
| Robert Wood Johnson University Hospital At Hamilton | Hamilton, NJ | $3,049 | - | $18,602 | $2,029 - $15,514 |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $3,066 | - | $17,522 | $3,816 - $33,077 |
| Robert Wood Johnson University Hospital - Somerset | Somerville, NJ | $3,144 | - | $18,602 | $1,278 - $11,161 |
| San Francisco VA Medical Center | San Francisco, CA | $3,174 | - | $5,667 | - |
| San Mateo Medical Center | San Mateo, CA | $3,174 | - | $5,667 | - |
| Tri-City Medical Center | Oceanside, CA | $3,174 | - | $5,667 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $3,174 | - | $5,667 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $3,174 | - | $5,667 | - |
| Sutter Roseville Medical Center | Roseville, CA | $3,174 | - | $5,667 | - |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $3,968 | - | $18,602 | $2,029 - $11,161 |
| Orange County Global Medical Center | Santa Ana, CA | $4,243 | - | $8,160 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $4,243 | - | $8,160 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $4,243 | - | $8,160 | - |
| Chi-St Vincent Infirmary | Little Rock, AR | $4,409 | - | $17,182 | $6,014 - $9,622 |
| Medstar Union Memorial Hospital | Baltimore, MD | $8,323 | $5,297 | $8,493 | $779 - $16,276 |
| St. Patrick Hospital | Missoula, MT | $5,544 | - | $6,930 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $5,554 | - | $10,890 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $5,890 | - | $16,830 | - |
| Saint John'S Health Center | Santa Monica, CA | $5,890 | - | $16,830 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $5,890 | - | $16,830 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $5,890 | - | $16,830 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $5,890 | - | $16,830 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $5,890 | - | $16,830 | - |
| Healdsburg Hospital | Healdsburg, CA | $6,261 | - | $12,276 | - |
| Medstar Harbor Hospital | Baltimore, MD | $11,096 | $6,706 | $11,322 | $834 - $21,699 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $11,178 | $7,081 | $11,406 | $1,016 - $21,859 |
| Providence St. Mary Medical Center | Walla Walla, WA | $7,152 | - | $10,217 | - |
| Medstar Montgomery Medical Center | Olney, MD | $12,514 | $7,461 | $12,769 | $891 - $24,471 |
| Providence Valdez Medical Center | Valdez, AK | $7,815 | - | $10,019 | - |
| Covenant Hospital Levelland | Levelland, TX | $7,884 | - | $18,770 | - |
| Covenant Hospital Plainview | Plainview, TX | $7,884 | - | $18,770 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $7,884 | - | $18,770 | - |
| Covenant Medical Center | Lubbock, TX | $7,884 | - | $18,770 | - |
| Providence Mount Carmel Hospital | Colville, WA | $7,928 | - | $11,326 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $7,928 | - | $11,326 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $8,002 | - | $16,672 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $8,002 | - | $16,672 | - |
| Swedish Issaquah | Issaquah, WA | $8,002 | - | $16,672 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $8,019 | - | $10,692 | - |
| Providence Newberg Medical Center | Newberg, OR | $8,019 | - | $10,692 | - |
| Providence Seaside Hospital | Seaside, OR | $8,019 | - | $10,692 | - |
| Providence Medford Medical Center | Medford, OR | $8,019 | - | $10,692 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $8,019 | - | $10,692 | - |
| Providence St. Vincent Medical Center | Portland, OR | $8,019 | - | $10,692 | - |
| Providence Portland Medical Center | Portland, OR | $8,019 | - | $10,692 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $8,019 | - | $10,692 | - |
| Providence Holy Family Hospital | Spokane, WA | $8,289 | - | $11,841 | - |
| Medstar Good Samaritan Hospital | Baltimore, MD | $12,945 | $8,325 | $13,210 | $1,254 - $25,315 |
| Kadlec Regional Medical Center | Richland, WA | $8,348 | - | $11,926 | - |
| Providence St. Joseph Hospital | Eureka, CA | $8,402 | - | $17,503 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $8,649 | - | $11,088 | - |
| St. Mary Medical Center | Long Beach, CA | $9,409 | - | $19,602 | - |
| Providence Mission Hospital | Mission Viejo, CA | $9,599 | - | $19,998 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $9,977 | - | $19,562 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $10,397 | - | $21,661 | - |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $18,448 | $10,708 | $18,825 | $1,172 - $36,076 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $19,198 | $11,073 | $19,589 | $1,199 - $37,542 |
| Grace Surgical Hospital | Lubbock, TX | $11,086 | - | $26,395 | - |
| Providence Regional Medical Center Everett | Everett, WA | $11,284 | - | $21,701 | - |
| Providence Alaska Medical Center | Anchorage, AK | $11,737 | - | $15,048 | - |
| Petaluma Valley Hospital | Petaluma, CA | $12,360 | - | $24,235 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $12,360 | - | $24,235 | - |
| Providence Centralia Hospital | Centralia, WA | $13,858 | - | $26,651 | - |
| Providence St. Peter Hospital | Olympia, WA | $13,858 | - | $26,651 | - |
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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