Mouth piece cost in Indiana

Mouth piece · HCPCS A4617

Hospital City Cash price Negotiated range Payers
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City not published $0.35 – $5.75 2
Parkview Ortho Hospital Fort Wayne not published $0.35 – $6.63 2
Parkview Noble Hospital Kendallville not published $0.35 – $5.63 2
Parkview Wabash Hospital Wabash not published $0.35 – $0.35 1
Parkview LaGrange Hospital Lagrange not published $0.35 – $0.35 1
Parkview Huntington Hospital Huntington not published $0.35 – $5.75 2
Parkview DeKalb Hospital Auburn not published $0.35 – $5.75 2
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne not published $0.35 – $6.63 2