Ampho b cholesteryl sulfate cost in Texas
Ampho b cholesteryl sulfate · HCPCS J0288
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Covenant Hospital Levelland | Levelland | not published | $49.27 – $49.27 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $26.03 – $102.27 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $17.57 – $17.57 | 1 |
| Adventhealth Central Texas | Killeen | not published | $51.13 – $51.13 | 1 |
| Covenant Hospital Plainview | Plainview | not published | $49.27 – $49.27 | 1 |
| Covenant Children's Hospital | Lubbock | not published | $49.67 – $272.50 | 3 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $26.03 – $102.27 | 3 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $33.88 – $102.27 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $33.88 – $102.27 | 2 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $26.03 – $102.27 | 3 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $26.03 – $102.27 | 3 |
| HCA HOUSTON PEARLAND | Pearland | not published | $26.03 – $102.27 | 3 |
| Texas Health Hospital Mansfield | Mansfield | not published | $17.57 – $17.57 | 1 |
| Covenant Medical Center | Lubbock | not published | $49.67 – $272.50 | 4 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $26.03 – $102.27 | 3 |
| Adventhealth Rollins Brook | Lampasas | not published | $51.13 – $51.13 | 1 |
| HCA HOUSTON WEST | HOUSTON | not published | $33.88 – $102.27 | 2 |