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HCPCS Q4156

GRAFT TISSUE AMNIOTIC MEMBRANE CRYOPRESERVED CLARIX 2X2CM CR022020 - as described in hospitals' own price files.

42hospitals publishing a price
$1,068median cash price
-median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Providence Hood River Memorial HospitalHood River, OR$148-$197-
Providence Newberg Medical CenterNewberg, OR$148-$197-
Providence Seaside HospitalSeaside, OR$148-$197-
Providence Medford Medical CenterMedford, OR$148-$197-
Providence Milwaukie HospitalMilwaukie, OR$148-$197-
Providence St. Vincent Medical CenterPortland, OR$148-$197-
Providence Portland Medical CenterPortland, OR$148-$197-
Providence Willamette Falls Medical CenterOregon City, OR$148-$197-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$712-$2,034-
Saint John'S Health CenterSanta Monica, CA$712-$2,034-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$712-$2,034-
Providence Holy Cross Medical CenterMission Hills, CA$712-$2,034-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$712-$2,034-
Providence Saint Joseph Medical CtrBurbank, CA$712-$2,034-
Healdsburg HospitalHealdsburg, CA$931-$1,826-
St. Patrick HospitalMissoula, MT$946-$1,183-
Providence Mount Carmel HospitalColville, WA$999-$1,428-
Providence St. Joseph HospitalChewelah, WA$999-$1,428-
Kadlec Regional Medical CenterRichland, WA$1,043-$1,490-
Providence Holy Family HospitalSpokane, WA$1,049-$1,498-
Swedish Edmonds HospitalEdmonds, WA$1,068-$2,224-
Swedish Medical Center / Cherry HillSeattle, WA$1,068-$2,224-
Swedish IssaquahIssaquah, WA$1,068-$2,224-
Providence St. Mary Medical CenterWalla Walla, WA$1,089-$1,556-
St. Mary Medical CenterLong Beach, CA$1,257-$2,619-
Providence Queen Of The Valley Medical CenterNapa, CA$1,350-$2,648-
Covenant Hospital LevellandLevelland, TX$1,353-$3,220-
Covenant Hospital PlainviewPlainview, TX$1,353-$3,220-
Covenant Health Hobbs HospitalHobbs, NM$1,353-$3,220-
Covenant Medical CenterLubbock, TX$1,353-$3,220-
Petaluma Valley HospitalPetaluma, CA$1,355-$2,656-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$1,355-$2,656-
Grace Surgical HospitalLubbock, TX$1,367-$3,254-
Providence St. Jude Medical CenterFullerton, CA$1,386-$2,888-
Providence Valdez Medical CenterValdez, AK$1,473-$1,888-
Providence Redwood Memorial HospitalFortuna, CA$1,482-$2,905-
Providence St. Joseph HospitalEureka, CA$1,484-$3,092-
Providence Centralia HospitalCentralia, WA$1,614-$3,104-
Providence St. Peter HospitalOlympia, WA$1,614-$3,104-
Providence Regional Medical Center EverettEverett, WA$1,761-$3,386-
Providence Kodiak Island Medical CtrKodiak, AK$1,767-$2,266-
Providence Alaska Medical CenterAnchorage, AK$2,806-$3,598-

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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