GRAFT TISSUE AMNIOTIC MEMBRANE WOUND REPAIR DISK AMNIOBAND WC3010 10MM - 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 | $176 | - | $504 | - |
| Saint John'S Health Center | Santa Monica, CA | $176 | - | $504 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $176 | - | $504 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $176 | - | $504 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $176 | - | $504 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $176 | - | $504 | - |
| Kadlec Regional Medical Center | Richland, WA | $265 | - | $379 | - |
| St. Patrick Hospital | Missoula, MT | $270 | - | $337 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $270 | - | $563 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $270 | - | $563 | - |
| Swedish Issaquah | Issaquah, WA | $270 | - | $563 | - |
| Healdsburg Hospital | Healdsburg, CA | $282 | - | $554 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $307 | - | $438 | - |
| St. Mary Medical Center | Long Beach, CA | $318 | - | $662 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $338 | - | $663 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $350 | - | $730 | - |
| Providence Mount Carmel Hospital | Colville, WA | $352 | - | $504 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $352 | - | $504 | - |
| Providence Holy Family Hospital | Spokane, WA | $372 | - | $532 | - |
| Providence St. Joseph Hospital | Eureka, CA | $383 | - | $798 | - |
| Providence Centralia Hospital | Centralia, WA | $394 | - | $758 | - |
| Providence St. Peter Hospital | Olympia, WA | $394 | - | $758 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $405 | - | $540 | - |
| Providence Newberg Medical Center | Newberg, OR | $405 | - | $540 | - |
| Providence Seaside Hospital | Seaside, OR | $405 | - | $540 | - |
| Providence Medford Medical Center | Medford, OR | $405 | - | $540 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $405 | - | $540 | - |
| Providence St. Vincent Medical Center | Portland, OR | $405 | - | $540 | - |
| Providence Portland Medical Center | Portland, OR | $405 | - | $540 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $405 | - | $540 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $413 | - | $811 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $436 | - | $559 | - |
| Providence Regional Medical Center Everett | Everett, WA | $436 | - | $839 | - |
| Petaluma Valley Hospital | Petaluma, CA | $437 | - | $856 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $437 | - | $856 | - |
| Providence Valdez Medical Center | Valdez, AK | $437 | - | $560 | - |
| Covenant Hospital Levelland | Levelland, TX | $447 | - | $1,065 | - |
| Covenant Hospital Plainview | Plainview, TX | $447 | - | $1,065 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $447 | - | $1,065 | - |
| Covenant Medical Center | Lubbock, TX | $447 | - | $1,065 | - |
| Grace Surgical Hospital | Lubbock, TX | $451 | - | $1,073 | - |
| Providence Alaska Medical Center | Anchorage, AK | $724 | - | $928 | - |
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.