LOCM 200-299mg/ml iodine,1ml - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Grandview Medical Center | Birmingham, AL | $0.98 | $0.85 | $6.50 | $0.15 - $6.50 |
| Medical Center Enterprise | Enterprise, AL | $0.28 | $2.19 | $3.13 | $0.28 - $3.13 |
| Mat-Su Regional Medical Center | Palmer, AK | $2.04 | $5.17 | $6.80 | $0.73 - $6.53 |
| Flowers Hospital | Dothan, AL | $1.85 | $9.02 | $12.36 | $0.35 - $12.36 |
| Crestwood Medical Center | Huntsville, AL | $0.71 | $13.50 | $3.96 | $0.45 - $33.74 |
| Gadsden Regional Medical Center | Gadsden, AL | $4.41 | $23.53 | $36.77 | $0.39 - $1,525 |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $31.50 | - | $90.00 | - |
| Saint John'S Health Center | Santa Monica, CA | $32.41 | - | $92.61 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $32.41 | - | $92.61 | - |
| Grace Surgical Hospital | Lubbock, TX | $38.90 | - | $92.61 | - |
| Covenant Medical Center | Lubbock, TX | $41.10 | - | $97.86 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $43.20 | - | $90.00 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $43.20 | - | $90.00 | - |
| Swedish Issaquah | Issaquah, WA | $46.97 | - | $97.86 | - |
| Providence Centralia Hospital | Centralia, WA | $48.16 | - | $92.61 | - |
| Providence St. Peter Hospital | Olympia, WA | $48.16 | - | $92.61 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $48.36 | - | $138 | - |
| Kadlec Regional Medical Center | Richland, WA | $63.00 | - | $90.00 | - |
| Providence Medford Medical Center | Medford, OR | $67.50 | - | $90.00 | - |
| Providence Portland Medical Center | Portland, OR | $67.50 | - | $90.00 | - |
| Providence Seaside Hospital | Seaside, OR | $69.46 | - | $92.61 | - |
| Providence Alaska Medical Center | Anchorage, AK | $70.20 | - | $90.00 | - |
| Providence Holy Family Hospital | Spokane, WA | $70.37 | - | $101 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $71.40 | - | $204 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $72.24 | - | $92.61 | - |
| Providence Newberg Medical Center | Newberg, OR | $73.35 | - | $97.80 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $75.40 | - | $101 | - |
| Providence Mount Carmel Hospital | Colville, WA | $96.73 | - | $138 | - |
| Providence Valdez Medical Center | Valdez, AK | $108 | - | $138 | - |
| St. Mary Medical Center | Long Beach, CA | $114 | - | $237 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $125 | - | $261 | - |
| Providence St. Joseph Hospital | Eureka, CA | $136 | - | $282 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $143 | - | $204 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $153 | - | $300 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $157 | - | $307 | - |
| Petaluma Valley Hospital | Petaluma, CA | $180 | - | $353 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $180 | - | $353 | - |
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.