ALGRFT MEMB AMNIO HUMAN 1X2CM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence Hood River Memorial Hospital | Hood River, OR | $332 | - | $443 | - |
| Providence Newberg Medical Center | Newberg, OR | $332 | - | $443 | - |
| Providence Seaside Hospital | Seaside, OR | $332 | - | $443 | - |
| Providence Medford Medical Center | Medford, OR | $332 | - | $443 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $332 | - | $443 | - |
| Providence St. Vincent Medical Center | Portland, OR | $332 | - | $443 | - |
| Providence Portland Medical Center | Portland, OR | $332 | - | $443 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $332 | - | $443 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $790 | - | $2,258 | - |
| Saint John'S Health Center | Santa Monica, CA | $790 | - | $2,258 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $790 | - | $2,258 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $790 | - | $2,258 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $790 | - | $2,258 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $790 | - | $2,258 | - |
| Healdsburg Hospital | Healdsburg, CA | $1,034 | - | $2,027 | - |
| St. Patrick Hospital | Missoula, MT | $1,050 | - | $1,313 | - |
| Providence Mount Carmel Hospital | Colville, WA | $1,109 | - | $1,585 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $1,109 | - | $1,585 | - |
| Kadlec Regional Medical Center | Richland, WA | $1,158 | - | $1,654 | - |
| Providence Holy Family Hospital | Spokane, WA | $1,165 | - | $1,664 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $1,185 | - | $2,470 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $1,185 | - | $2,470 | - |
| Swedish Issaquah | Issaquah, WA | $1,185 | - | $2,470 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $1,209 | - | $1,728 | - |
| St. Mary Medical Center | Long Beach, CA | $1,396 | - | $2,907 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $1,499 | - | $2,940 | - |
| Covenant Hospital Levelland | Levelland, TX | $1,502 | - | $3,575 | - |
| Covenant Hospital Plainview | Plainview, TX | $1,502 | - | $3,575 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $1,502 | - | $3,575 | - |
| Covenant Medical Center | Lubbock, TX | $1,502 | - | $3,575 | - |
| Petaluma Valley Hospital | Petaluma, CA | $1,504 | - | $2,949 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $1,504 | - | $2,949 | - |
| Grace Surgical Hospital | Lubbock, TX | $1,517 | - | $3,612 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $1,539 | - | $3,207 | - |
| Providence Valdez Medical Center | Valdez, AK | $1,635 | - | $2,096 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $1,645 | - | $3,225 | - |
| Providence St. Joseph Hospital | Eureka, CA | $1,648 | - | $3,433 | - |
| Providence Centralia Hospital | Centralia, WA | $1,792 | - | $3,446 | - |
| Providence St. Peter Hospital | Olympia, WA | $1,792 | - | $3,446 | - |
| Providence Regional Medical Center Everett | Everett, WA | $1,955 | - | $3,760 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $1,962 | - | $2,516 | - |
| Providence Alaska Medical Center | Anchorage, AK | $3,116 | - | $3,995 | - |
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.