In-111 autol wbc diag per dose cost in Pennsylvania
IN-111 AUTOL WBC DIAG PER DOSE · HCPCS A9570
$3,218.00
lowest in Pennsylvania
$6,806.40
state median
$6,836.00
highest in Pennsylvania
$3,493.75
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Uniontown Hospital | Uniontown | $3,218.00 | $1,103.19 – $2,570.43 | 19 |
| UPMC Community Osteopathic | Harrisburg | $6,806.40 | $1,021.08 – $9,642.40 | 13 |
| UPMC Hanover | Hanover | $6,806.40 | $1,021.08 – $2,084.99 | 9 |
| UPMC Lititz | Lititz | $6,806.40 | $1,021.08 – $2,084.99 | 7 |
| UPMC Memorial | York | $6,806.40 | $1,075.74 – $2,084.99 | 7 |
| UPMC Somerset | Somerset | $6,806.40 | $1,021.08 – $1,113.80 | 5 |
| UPMC Carlisle | Carlisle | $6,806.40 | $567.26 – $9,642.40 | 15 |
| WellSpan Gettysburg Hospital | Gettysburg | $6,836.00 | $773.54 – $15,029.56 | 21 |
| WellSpan Chambersburg Hospital | Chambersburg | $6,836.00 | $1,031.39 – $15,029.56 | 7 |
| WellSpan Good Samaritan Hospital | Lebanon | $6,836.00 | $773.54 – $15,029.56 | 20 |
| WellSpan Ephrata Community Hospital | Ephrata | $6,836.00 | $773.54 – $15,029.56 | 18 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $6,836.00 | $1,031.39 – $15,029.56 | 19 |