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HCPCS Q0175
PERPHENAZINE TAB 4 MG - as described in hospitals' own price files.
13hospitals publishing a price
$5.28median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $0.61 | - | $1.75 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $4.06 | - | $8.45 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $4.06 | - | $8.45 | - |
| Swedish Issaquah | Issaquah, WA | $4.06 | - | $8.45 | - |
| Providence St. Joseph Hospital | Eureka, CA | $5.28 | - | $11.00 | - |
| St. Mary Medical Center | Long Beach, CA | $5.28 | - | $11.00 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $5.28 | - | $11.00 | - |
| Providence Holy Family Hospital | Spokane, WA | $8.29 | - | $11.84 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $9.93 | - | $13.24 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $9.93 | - | $13.24 | - |
| Providence Portland Medical Center | Portland, OR | $9.93 | - | $13.24 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $9.93 | - | $13.24 | - |
| St. Patrick Hospital | Missoula, MT | $14.10 | - | $17.63 | - |
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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