ALGRFT GRAFIX PRIME PLS 1.5X2 - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Grandview Medical Center | Birmingham, AL | $23.40 | $93.60 | $156 | $23.40 - $156 |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $165 | - | $471 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $246 | - | $483 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $248 | - | $710 | - |
| Mat-Su Regional Medical Center | Palmer, AK | $104 | $264 | $347 | $37.20 - $333 |
| Gadsden Regional Medical Center | Gadsden, AL | $216 | $295 | $1,800 | $45.00 - $1,800 |
| Saint John'S Health Center | Santa Monica, CA | $337 | - | $962 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $337 | - | $962 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $337 | - | $962 | - |
| Healdsburg Hospital | Healdsburg, CA | $403 | - | $791 | - |
| Providence Newberg Medical Center | Newberg, OR | $442 | - | $590 | - |
| Providence St. Vincent Medical Center | Portland, OR | $442 | - | $590 | - |
| Providence Portland Medical Center | Portland, OR | $442 | - | $590 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $451 | - | $939 | - |
| Grace Surgical Hospital | Lubbock, TX | $527 | - | $1,255 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $554 | - | $739 | - |
| Providence Seaside Hospital | Seaside, OR | $554 | - | $739 | - |
| Providence Medford Medical Center | Medford, OR | $554 | - | $739 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $554 | - | $739 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $554 | - | $739 | - |
| Kadlec Regional Medical Center | Richland, WA | $560 | - | $800 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $591 | - | $1,159 | - |
| St. Patrick Hospital | Missoula, MT | $623 | - | $779 | - |
| Flowers Hospital | Dothan, AL | $125 | $624 | $832 | $125 - $832 |
| Covenant Medical Center | Lubbock, TX | $726 | - | $1,729 | - |
| St. Mary Medical Center | Long Beach, CA | $768 | - | $1,600 | - |
| Providence Regional Medical Center Everett | Everett, WA | $804 | - | $1,545 | - |
| Providence St. Joseph Hospital | Eureka, CA | $888 | - | $1,851 | - |
| Crestwood Medical Center | Huntsville, AL | $522 | $922 | $2,898 | $111 - $2,898 |
| Providence Alaska Medical Center | Anchorage, AK | $1,000 | - | $1,282 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $1,247 | - | $3,564 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $1,274 | - | $2,653 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $1,274 | - | $2,653 | - |
| Swedish Issaquah | Issaquah, WA | $1,274 | - | $2,653 | - |
| Providence Mount Carmel Hospital | Colville, WA | $1,802 | - | $2,574 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $1,802 | - | $2,574 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $1,885 | - | $2,693 | - |
| Providence Holy Family Hospital | Spokane, WA | $1,889 | - | $2,699 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $2,108 | - | $2,703 | - |
| Covenant Hospital Levelland | Levelland, TX | $2,179 | - | $5,188 | - |
| Covenant Hospital Plainview | Plainview, TX | $2,179 | - | $5,188 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $2,179 | - | $5,188 | - |
| Providence Valdez Medical Center | Valdez, AK | $2,187 | - | $2,804 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $2,222 | - | $4,356 | - |
| Petaluma Valley Hospital | Petaluma, CA | $2,553 | - | $5,005 | - |
| Providence Centralia Hospital | Centralia, WA | $3,048 | - | $5,861 | - |
| Providence St. Peter Hospital | Olympia, WA | $3,048 | - | $5,861 | - |
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.