OFF CONTRACT - MTRX GRFTJKT NOW STD 4X4CM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Flowers Hospital | Dothan, AL | $65.78 | $329 | $439 | $65.78 - $439 |
| Gadsden Regional Medical Center | Gadsden, AL | $90.00 | $521 | $750 | $90.00 - $1,525 |
| Grandview Medical Center | Birmingham, AL | $177 | $707 | $1,178 | $92.59 - $1,178 |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $2,520 | - | $7,200 | - |
| Saint John'S Health Center | Santa Monica, CA | $2,520 | - | $7,200 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $2,520 | - | $7,200 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $2,520 | - | $7,200 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $2,520 | - | $7,200 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $2,520 | - | $7,200 | - |
| St. Patrick Hospital | Missoula, MT | $2,560 | - | $3,200 | - |
| Healdsburg Hospital | Healdsburg, CA | $3,019 | - | $5,920 | - |
| Providence Valdez Medical Center | Valdez, AK | $3,157 | - | $4,048 | - |
| Kadlec Regional Medical Center | Richland, WA | $3,214 | - | $4,592 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $3,312 | - | $4,416 | - |
| Providence Newberg Medical Center | Newberg, OR | $3,312 | - | $4,416 | - |
| Providence Seaside Hospital | Seaside, OR | $3,312 | - | $4,416 | - |
| Providence Medford Medical Center | Medford, OR | $3,312 | - | $4,416 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $3,312 | - | $4,416 | - |
| Providence St. Vincent Medical Center | Portland, OR | $3,312 | - | $4,416 | - |
| Providence Portland Medical Center | Portland, OR | $3,312 | - | $4,416 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $3,312 | - | $4,416 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $3,362 | - | $6,592 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $3,371 | - | $4,816 | - |
| Providence Mount Carmel Hospital | Colville, WA | $3,461 | - | $4,944 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $3,461 | - | $4,944 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $3,502 | - | $7,296 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $3,502 | - | $7,296 | - |
| Swedish Issaquah | Issaquah, WA | $3,502 | - | $7,296 | - |
| Providence Holy Family Hospital | Spokane, WA | $3,625 | - | $5,178 | - |
| Covenant Hospital Levelland | Levelland, TX | $3,891 | - | $9,264 | - |
| Covenant Hospital Plainview | Plainview, TX | $3,891 | - | $9,264 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $3,891 | - | $9,264 | - |
| Covenant Medical Center | Lubbock, TX | $3,891 | - | $9,264 | - |
| Grace Surgical Hospital | Lubbock, TX | $3,945 | - | $9,392 | - |
| St. Mary Medical Center | Long Beach, CA | $4,293 | - | $8,944 | - |
| Providence St. Joseph Hospital | Eureka, CA | $4,623 | - | $9,632 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $4,739 | - | $9,872 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $4,742 | - | $6,080 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $4,855 | - | $9,520 | - |
| Petaluma Valley Hospital | Petaluma, CA | $5,092 | - | $9,984 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $5,092 | - | $9,984 | - |
| Providence Centralia Hospital | Centralia, WA | $5,949 | - | $11,440 | - |
| Providence St. Peter Hospital | Olympia, WA | $5,949 | - | $11,440 | - |
| Providence Regional Medical Center Everett | Everett, WA | $6,015 | - | $11,568 | - |
| Providence Alaska Medical Center | Anchorage, AK | $7,488 | - | $9,600 | - |
| Crestwood Medical Center | Huntsville, AL | $8,348 | $14,749 | $46,380 | $85.96 - $46,380 |
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.