DISC - SKIN SUB DERMAGRAFT 5X7.5CM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $21.00 | - | $60.00 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $21.00 | - | $60.00 | - |
| Providence Alaska Medical Center | Anchorage, AK | $114 | - | $146 | - |
| Mat-Su Regional Medical Center | Palmer, AK | $55.80 | $141 | $186 | $19.94 - $179 |
| Gadsden Regional Medical Center | Gadsden, AL | $64.80 | $375 | $540 | $44.94 - $1,525 |
| Grandview Medical Center | Birmingham, AL | $107 | $427 | $712 | $44.94 - $712 |
| Flowers Hospital | Dothan, AL | $144 | $722 | $962 | $44.94 - $962 |
| Providence St. Joseph Hospital | Eureka, CA | $1,857 | - | $3,868 | - |
| Saint John'S Health Center | Santa Monica, CA | $1,912 | - | $5,464 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $1,912 | - | $5,464 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $1,912 | - | $5,464 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $1,912 | - | $5,464 | - |
| St. Patrick Hospital | Missoula, MT | $1,927 | - | $2,409 | - |
| Providence Valdez Medical Center | Valdez, AK | $2,319 | - | $2,973 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $2,450 | - | $3,266 | - |
| Providence Seaside Hospital | Seaside, OR | $2,450 | - | $3,266 | - |
| Providence Medford Medical Center | Medford, OR | $2,450 | - | $3,266 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $2,450 | - | $3,266 | - |
| Providence St. Vincent Medical Center | Portland, OR | $2,450 | - | $3,266 | - |
| Providence Portland Medical Center | Portland, OR | $2,450 | - | $3,266 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $2,450 | - | $3,266 | - |
| Providence Mount Carmel Hospital | Colville, WA | $2,591 | - | $3,701 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $2,591 | - | $3,701 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $2,624 | - | $3,748 | - |
| Providence Holy Family Hospital | Spokane, WA | $2,715 | - | $3,878 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $2,792 | - | $5,816 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $2,792 | - | $5,816 | - |
| Swedish Issaquah | Issaquah, WA | $2,792 | - | $5,816 | - |
| St. Mary Medical Center | Long Beach, CA | $3,282 | - | $6,838 | - |
| Petaluma Valley Hospital | Petaluma, CA | $3,811 | - | $7,473 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $3,858 | - | $4,947 | - |
| Providence Centralia Hospital | Centralia, WA | $4,460 | - | $8,578 | - |
| Providence St. Peter Hospital | Olympia, WA | $4,460 | - | $8,578 | - |
| Providence Regional Medical Center Everett | Everett, WA | $4,601 | - | $8,848 | - |
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.