Barrier film 28ml spray no stng cavilon cost at US hospitals
BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369
$4.77
lowest cash price
$19.50
national median
$169.00
highest cash price
58
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.77–$169.00 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($13.68) → Sep 1, 2026 ($16.80)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 6 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 8 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 41 | $5.00 | $16.00 | $106.00 |
| Illinois | 12 | not published by hospital | not published by hospital | not published by hospital |
| Indiana | 8 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 24 | $15.29 | $19.11 | $29.40 |
| Kansas | 3 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 11 | $4.77 | $4.77 | $4.77 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 7 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 17 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 22 | not published by hospital | not published by hospital | not published by hospital |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 3 | $16.80 | $18.60 | $27.60 |
| South Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 14 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 61 | $13.68 | $19.50 | $169.00 |
| Virginia | 10 | $101.00 | $139.00 | $139.00 |
| Washington | 1 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 1 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $4.77 | $2.51 – $13.69 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $4.77 | $2.51 – $6.84 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $4.77 | $2.51 – $6.88 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $4.77 | $2.51 – $5.96 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | $5.00 | $3.36 – $4.15 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | $7.35 | $3.36 – $4.67 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | $10.00 | $3.36 – $5.88 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $13.68 | $2.79 – $3.38 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $13.68 | $2.79 – $3.38 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | $14.81 | $3.36 – $3.81 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $15.29 | $9.31 – $23.52 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | $15.88 | $3.36 – $4.67 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | $16.00 | $3.36 – $4.15 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | $16.60 | $3.36 – $4.67 |
| UPMC East | Monroeville, PA | $16.80 | $4.32 – $22.40 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | $17.31 | $3.36 – $3.81 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | $17.92 | $3.36 – $4.67 |
| UPMC Williamsport | Williamsport, PA | $18.60 | $2.36 – $5.45 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $19.11 | $6.91 – $29.40 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $19.11 | $10.50 – $29.40 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $19.11 | $11.11 – $33.09 |
| MercyOne Clinton Medical Center | Clinton, IA | $19.11 | $8.32 – $29.40 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $19.11 | $11.24 – $29.40 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $19.11 | $6.91 – $29.40 |
| MercyOne Elkader Medical Center | Elkader, IA | $19.11 | $15.13 – $30.73 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $19.11 | $5.91 – $29.40 |
| MercyOne Newton Medical Center | Newton, IA | $19.11 | $19.11 – $29.40 |
| MercyOne North Iowa Medical Center | Mason City, IA | $19.11 | $7.53 – $29.40 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $19.50 | not published |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $19.50 | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $19.50 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $19.50 | not published |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $19.50 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $19.50 | not published |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $19.50 | not published |
| Texas Health Hospital Frisco | Frisco, TX | $19.50 | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $19.50 | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $19.50 | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $19.50 | not published |
| Texas Health Hospital Rockwall | Rockwall, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $19.50 | not published |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $19.50 | not published |
| Ascension Providence | Waco, TX | $21.33 | $3.16 – $3.52 |
| UPMC Presbyterian | Pittsburgh, PA | $27.60 | $2.21 – $21.91 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $29.40 | $5.91 – $29.40 |