Ampho b cholesteryl sulfate cost in New Jersey

Ampho b cholesteryl sulfate · HCPCS J0288

Hospital City Cash price Negotiated range Payers
Monmouth Medical Center Southern Campus Lakewood not published $14.28 – $74.38 3
Monmouth Medical Center Long Branch not published $14.28 – $74.38 3
Jersey City Medical Center Jersey City not published $14.28 – $74.38 4
Newark Beth Israel Medical Center Newark not published $14.28 – $74.38 3
Clara Maass Medical Center Belleville not published $14.28 – $74.38 3
Community Medical Center Toms River not published $14.28 – $74.38 3
Trinitas Regional Medical Center Elizabeth not published $14.62 – $97.60 5
Robert Wood Johnson University Hospital Rahway Rahway not published $14.28 – $74.38 2
Robert Wood Johnson University Hospital Somerset Somerville not published $14.28 – $74.38 4
Robert Wood Johnson University Hospital Hamilton Hamilton Township not published $14.28 – $74.38 3
Southern Ocean Medical Center Manahawkin not published $35.03 – $35.03 1
Riverview Medical Center Red Bank not published $35.03 – $35.03 1
Robert Wood Johnson University Hospital New Brunswick not published $14.28 – $74.38 4
Palisades Medical Center North Bergen not published $35.77 – $35.77 1
Jersey Shore University Medical Center Neptune City not published $35.03 – $35.03 1
JFK Johnson Rehabilitation Institute (JRI) Edison not published $23.09 – $35.77 2
Raritan Bay Medical Center Perth Amboy not published $35.77 – $35.77 1
Ocean University Medical Center Brick not published $23.09 – $35.03 2
Hackensack University Medical Center Hackensack not published $35.77 – $35.77 1
Cooperman Barnabas Medical Center Livingston not published $14.28 – $74.38 3