Dalbavancin 500 mg intravenous solution cost in Oklahoma
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION · HCPCS J0875
$2,077.81
lowest in Oklahoma
$4,496.23
state median
$5,214.38
highest in Oklahoma
$3,480.61
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $2,077.81 | $21.28 – $22.80 | 5 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $2,077.81 | $18.85 – $22.80 | 5 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $2,077.81 | $21.28 – $22.80 | 4 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $2,077.81 | $21.28 – $22.80 | 5 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $2,077.81 | $21.28 – $22.80 | 5 |
| Mercy Hospital Kingfisher | Kingfisher | $4,496.23 | $1,560.00 – $1,860.00 | 5 |
| Mercy Hospital Ardmore | Northwest Ardmore | $4,741.39 | $14.72 – $4,245.00 | 59 |
| Mercy Hospital Healdton | Healdton | $4,741.39 | $1,560.00 – $1,860.00 | 5 |
| Mercy Hospital Tishomingo | Tishomingo | $4,741.39 | $1,560.00 – $1,860.00 | 5 |
| Mercy Hospital Logan County | Guthrie | $5,203.96 | $1,560.00 – $1,860.00 | 5 |
| Mercy Hospital Oklahoma City | Oklahoma City | $5,214.38 | $13.97 – $3,947.85 | 58 |