Ampho b cholesteryl sulfate cost in Iowa

Ampho b cholesteryl sulfate · HCPCS J0288

Hospital City Cash price Negotiated range Payers
UnityPoint Health - St. Luke's Hospital Cedar Rapids not published $16.00 – $89.69 4
UnityPoint Health - Trinity Regional Medical Center Fort Dodge not published $16.00 – $89.69 4
UnityPoint Health - Trinity Muscatine Muscatine not published $16.00 – $89.69 5
UnityPoint Health - Trinity Bettendorf Bettendorf not published $16.00 – $89.69 4
UnityPoint Health - St. Lukes Downtown Sioux City not published $16.00 – $89.69 4
UnityPoint Health - Marshalltown Marshalltown not published $16.00 – $89.69 4
UnityPoint Health - Jones Regional Medical Center Anamosa not published $16.00 – $89.69 4
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $16.00 – $89.69 4
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $16.00 – $89.69 4
UnityPoint Health - Finley Hospital Dubuque not published $16.00 – $89.69 5
UnityPoint Health - Allen Hospital Waterloo not published $16.00 – $89.69 4