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HCPCS Q4139
MATRIX AMNION LIQ 0.25CC - as described in hospitals' own price files.
15hospitals publishing a price
$1,423median cash price
$1,145median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| St. Patrick Hospital | Missoula, MT | $1,104 | - | $1,381 | - |
| Grandview Medical Center | Birmingham, AL | $286 | $1,145 | $1,909 | $286 - $1,909 |
| Providence Mount Carmel Hospital | Colville, WA | $1,302 | - | $1,860 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $1,302 | - | $1,860 | - |
| Providence Holy Family Hospital | Spokane, WA | $1,365 | - | $1,950 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $1,381 | - | $1,972 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $1,423 | - | $2,964 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $1,423 | - | $2,964 | - |
| Swedish Issaquah | Issaquah, WA | $1,423 | - | $2,964 | - |
| Providence Valdez Medical Center | Valdez, AK | $1,556 | - | $1,995 | - |
| Providence Centralia Hospital | Centralia, WA | $2,183 | - | $4,198 | - |
| Providence St. Peter Hospital | Olympia, WA | $2,183 | - | $4,198 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $2,268 | - | $2,908 | - |
| Providence Regional Medical Center Everett | Everett, WA | $2,344 | - | $4,508 | - |
| Providence Alaska Medical Center | Anchorage, AK | $3,516 | - | $4,508 | - |
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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