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This is the fourth part of a comprehensive, quantitative study of biomedical book reviews. The data base of the total project was built from statistics of 3,347 reviews of 2,067 biomedical books taken from all 1970 issues of fifty-four reviewing journals. This part of the study identifies the major American and British biomedical book publishers in terms of their quantitative production of book titles reviewed, and determines the relationships among these publishers. It is found that Williams & Wilkins, Charles C Thomas, Academic Press, and Springer Verlag are the most productive biomedical book publishers in terms of books reviewed in 1970. These four publishers accounted for 32% of the 1,674 books available in the United States and reviewed in the reviewing media in 1970. Williams & Wilkins is especially significant by virtue of reprint activity. The present study also explores the price trend of biomedical books. It is found that the mean price for 1,077 books studied was $16.20 per volume, with a standard deviation of $9.42.