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HCPCS Q9965
LOCM 100-199mg/ml iodine,1ml - as described in hospitals' own price files.
14hospitals publishing a price
$46.35median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Holy Cross Medical Center | Mission Hills, CA | $31.50 | - | $90.00 | - |
| Covenant Medical Center | Lubbock, TX | $37.80 | - | $90.00 | - |
| St. Mary Medical Center | Long Beach, CA | $43.20 | - | $90.00 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $43.20 | - | $90.00 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $43.20 | - | $90.00 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $45.90 | - | $90.00 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $45.90 | - | $90.00 | - |
| Providence Centralia Hospital | Centralia, WA | $46.80 | - | $90.00 | - |
| Providence Holy Family Hospital | Spokane, WA | $63.00 | - | $90.00 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $63.00 | - | $90.00 | - |
| Providence Newberg Medical Center | Newberg, OR | $67.50 | - | $90.00 | - |
| Providence Seaside Hospital | Seaside, OR | $67.50 | - | $90.00 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $67.50 | - | $90.00 | - |
| Providence Alaska Medical Center | Anchorage, AK | $70.20 | - | $90.00 | - |
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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