Ampho b cholesteryl sulfate cost in Louisiana

Ampho b cholesteryl sulfate · HCPCS J0288

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $14.40 – $77.27 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $14.40 – $77.27 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $14.40 – $77.27 3
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $14.40 – $77.27 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $14.40 – $14.40 1
CHRISTUS Coushatta Health Care Center Coushatta not published $14.40 – $77.27 2