Drug/substance nos 4-6 cost in Kansas

DRUG/SUBSTANCE NOS 4-6 · CPT 80376

Hospital City Cash price Negotiated range Payers
Adventhealth Ottawa Ottawa not published $74.12 – $74.12 1
Ascension Via Christi Hospital St. Teresa, Inc. Wichita not published $27.96 – $27.96 1
Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) Wichita not published $27.96 – $27.96 1
Ascension Via Christi Hospital Manhattan, Inc Manhattan not published $17.88 – $81.10 9
Wamego Health Center (Wamego Hospital Association) Wamego not published $17.88 – $98.35 8
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita not published $0.02 – $27.96 2