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HCPCS Q5103
INFLIXIMAB-DYYB FOR IV INJ 100 MG - as described in hospitals' own price files.
82hospitals publishing a price
$1,178median cash price
$133median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence St. Mary Medical Center | Walla Walla, WA | $0.01 | - | $0.01 | - |
| Orange County Global Medical Center | Santa Ana, CA | $1,538 | $19.00 | $2,957 | $19.00 - $32.00 |
| Los Angeles General Medical Center | Los Angeles, CA | $1,538 | $19.00 | $2,957 | $19.00 - $32.00 |
| San Francisco VA Medical Center | San Francisco, CA | $1,656 | $19.00 | $2,957 | $19.00 - $32.00 |
| San Mateo Medical Center | San Mateo, CA | $1,656 | $19.00 | $2,957 | $19.00 - $32.00 |
| Tri-City Medical Center | Oceanside, CA | $1,656 | $19.00 | $2,957 | $19.00 - $32.00 |
| Santa Clara Valley Medical Center | San Jose, CA | $1,656 | $19.00 | $2,957 | $19.00 - $32.00 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $1,656 | $19.00 | $2,957 | $19.00 - $32.00 |
| Lompoc Valley Medical Center | Lompoc, CA | $1,538 | $19.00 | $2,957 | $19.00 - $32.00 |
| Sutter Roseville Medical Center | Roseville, CA | $1,656 | $19.00 | $2,957 | $19.00 - $32.00 |
| Penn State Health Hampden Medical Center | Enola, PA | $33.03 | $19.44 | $105 | $15.50 - $83.96 |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $25.07 | $19.69 | $105 | $15.90 - $83.96 |
| Excela Health Westmoreland Regional Hospital | Greensburg, PA | $2,214 | $21.59 | $3,691 | $1.00 - $2,952 |
| Oro Valley Hospital | Oro Valley, AZ | $33.09 | $33.09 | $138 | $11.67 - $124 |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $47.97 | - | $274 | $11.55 - $274 |
| George Washington Univ Hospital | Washington, DC | $1,996 | $66.94 | $4,990 | $18.57 - $3,742 |
| Corona Regional Medical Center | Corona, CA | - | $96.52 | $8,048 | $11.60 - $7,243 |
| East Georgia Regional Medical Center | Statesboro, GA | $72.50 | $99.34 | $268 | $13.62 - $900 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $99.42 | $101 | $101 | $99.42 - $101 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $112 | $114 | $114 | $112 - $114 |
| Medstar Montgomery Medical Center | Olney, MD | $130 | $133 | $133 | $130 - $133 |
| Grandview Medical Center | Birmingham, AL | $42.00 | $133 | $280 | $11.09 - $2,440 |
| Regional Hospital Of Scranton | Scranton, PA | $164 | $140 | $607 | $13.62 - $571 |
| Aiken Regional Medical Center | Aiken, SC | $1,612 | $145 | $4,031 | $27.71 - $3,426 |
| Alliancehealth Madill | Madill, OK | $64.34 | $147 | $184 | $13.62 - $1,831 |
| Northwest Health - Porter | Valparaiso, IN | $107 | $159 | $398 | $12.26 - $350 |
| Doctors Hospital | Columbus, OH | $183 | - | $281 | - |
| Dublin Methodist Hospital | Dublin, OH | $183 | - | $281 | - |
| Grant Medical Center | Columbus, OH | $183 | - | $281 | - |
| Riverside Methodist Hospital | Columbus, OH | $183 | - | $281 | - |
| Plains Regional Medical Center | Clovis, NM | $85.32 | $185 | $316 | $13.62 - $278 |
| Berger Hospital | Circleville, OH | $189 | - | $290 | - |
| Hardin Memorial Hospital | Kenton, OH | $189 | - | $291 | - |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $186 | $190 | $190 | $186 - $190 |
| Merit Health River Region | Vicksburg, MS | $228 | $193 | $1,265 | $13.62 - $1,265 |
| Ohiohealth Shelby Hospital | Shelby, OH | $201 | - | $309 | - |
| Crestwood Medical Center | Huntsville, AL | $92.45 | $205 | $514 | $19.99 - $2,147 |
| Dukes Memorial Hospital | Peru, IN | $254 | $236 | $507 | $17.87 - $507 |
| Medstar Union Memorial Hospital | Baltimore, MD | $232 | $237 | $237 | $232 - $237 |
| Medstar Harbor Hospital | Baltimore, MD | $235 | $240 | $240 | $235 - $240 |
| Mat-Su Regional Medical Center | Palmer, AK | $102 | $259 | $341 | $13.62 - $327 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $287 | $293 | $293 | $287 - $293 |
| Dupont Hospital LLC | Fort Wayne, IN | $203 | $343 | $753 | $12.26 - $678 |
| Bluffton Regional Medical Center | Bluffton, IN | $154 | $344 | $642 | $13.62 - $578 |
| Wilkes-Barre General Hospital | Wilkes-Barre, PA | $347 | $347 | $1,444 | $13.62 - $1,444 |
| Chi St. Luke'S Health Brazosport | Lake Jackson, TX | $957 | - | $2,733 | $15.66 - $4,264 |
| South Texas Health System | Edinburg, TX | $6,176 | $1,048 | $8,235 | $95.01 - $6,588 |
| Kadlec Regional Medical Center | Richland, WA | $1,080 | - | $1,543 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $1,147 | - | $2,389 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $1,147 | - | $2,389 | - |
| Swedish Issaquah | Issaquah, WA | $1,147 | - | $2,389 | - |
| Providence St. Joseph Medical Center | Polson, MT | $1,168 | - | $1,460 | - |
| Providence Holy Family Hospital | Spokane, WA | $1,178 | - | $1,683 | - |
| Providence Mount Carmel Hospital | Colville, WA | $1,178 | - | $1,683 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $1,178 | - | $1,683 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $1,357 | - | $2,661 | - |
| Providence Mission Hospital | Mission Viejo, CA | $1,386 | - | $2,888 | - |
| Providence Centralia Hospital | Centralia, WA | $1,455 | - | $2,798 | - |
| Providence St. Peter Hospital | Olympia, WA | $1,455 | - | $2,798 | - |
| Allen County Regional Hospital | Iola, KS | $1,488 | - | $2,479 | $475 - $2,429 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $1,594 | $3,985 | $22.43 - $3,148 |
| Saint John'S Health Center | Santa Monica, CA | $1,617 | - | $4,621 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $1,617 | - | $4,621 | - |
| Bakersfield Memorial Hospital | Bakersfield, CA | $1,642 | - | $4,520 | $16.29 - $3,661 |
| Chi-St Vincent Infirmary | Little Rock, AR | $1,784 | - | $6,954 | $11.55 - $3,477 |
| Ohiohealth O'Bleness Hospital | Athens, OH | $1,869 | - | $2,876 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $585 | $1,949 | $4,873 | $11.09 - $4,142 |
| Providence Hood River Memorial Hospital | Hood River, OR | $1,959 | - | $2,612 | - |
| Providence Seaside Hospital | Seaside, OR | $1,959 | - | $2,612 | - |
| Providence Medford Medical Center | Medford, OR | $1,959 | - | $2,612 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $1,959 | - | $2,612 | - |
| Providence St. Vincent Medical Center | Portland, OR | $1,959 | - | $2,612 | - |
| Providence Portland Medical Center | Portland, OR | $1,959 | - | $2,612 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $1,959 | - | $2,612 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $2,011 | - | $2,579 | - |
| Providence Alaska Medical Center | Anchorage, AK | $2,011 | - | $2,579 | - |
| Mercy Gilbert Medical Center | Gilbert, AZ | $2,261 | - | $4,500 | $21.02 - $4,500 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $2,398 | - | $4,316 | $18.13 - $4,230 |
| Chandler Regional Medical Center | Chandler, AZ | $2,677 | - | $9,653 | $16.31 - $8,109 |
| Chi St. Vincent Hospital Hot Springs | Hot Springs, AR | $3,086 | - | $3,086 | $11.55 - $3,252 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $3,416 | - | $5,750 | $18.94 - $5,750 |
| Dominican Hospital | Santa Cruz, CA | $3,538 | - | $8,000 | $24.22 - $6,800 |
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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