Infect ag phenotype na hiv-1 ea addl drg cost in Ohio
HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904
$39.60
lowest in Ohio
$117.00
state median
$373.44
highest in Ohio
$75.63
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St Ritas Medical Center | Lima | $39.60 | not published | 0 |
| Grady Memorial Hospital | Delaware | $63.05 | $26.07 – $27.11 | 3 |
| Berger Hospital | Circleville | $63.70 | $26.07 – $26.07 | 1 |
| Southeastern Medical Center | Cambridge | $63.70 | $26.07 – $27.11 | 2 |
| Mansfield Hospital | Mansfield | $74.10 | $26.07 – $27.11 | 3 |
| Shelby Hospital | Shelby | $74.10 | not published | 0 |
| Marion General Hospital | Marion | $86.45 | $26.07 – $27.11 | 2 |
| Hardin Memorial Hospital | Kenton | $90.35 | not published | 0 |
| Van Wert Hospital | Van Wert | $97.50 | $26.07 – $26.59 | 2 |
| Riverside Methodist Hospital | Columbus | $98.15 | $26.07 – $97.76 | 2 |
| Dublin Methodist Hospital | Dublin | $98.15 | $26.07 – $97.76 | 2 |
| Grant Medical Center | Columbus | $98.15 | $26.07 – $97.76 | 2 |
| Doctors Hospital | Columbus | $98.15 | $26.07 – $97.76 | 2 |
| O'Bleness Hospital | Athens | $113.75 | $26.07 – $26.33 | 2 |
| St Elizabeth Youngstown Hospital | Youngstown | $115.20 | not published | 0 |
| St Elizabeth Boardman Hospital | Youngstown | $115.20 | not published | 0 |
| St Joseph Warren Hospital | Warren | $115.20 | not published | 0 |
| cleveland clinic main campus | Cleveland | $117.00 | $12.87 – $162.00 | 46 |
| akron general | Akron | $117.00 | $0.95 – $162.00 | 36 |
| avon hospital | Avon | $117.00 | $0.95 – $162.00 | 34 |
| euclid hospital | Euclid | $117.00 | $0.95 – $162.00 | 41 |
| fairview hospital | Cleveland | $117.00 | $0.95 – $162.00 | 44 |
| lutheran hospital | Cleveland | $117.00 | $0.95 – $162.00 | 44 |
| hillcrest hospital | Mayfield Heights | $117.00 | $0.95 – $162.00 | 40 |
| marymount hospital | Garfield Heights | $117.00 | $0.95 – $162.00 | 44 |
| medina hospital | Medina | $117.00 | $0.95 – $162.00 | 39 |
| mercy hospital | Canton | $117.00 | $1.11 – $162.00 | 32 |
| south pointe hospital | Warrensville Heights | $117.00 | $0.95 – $162.00 | 40 |
| Allen Hospital | Oberlin | $134.40 | not published | 0 |
| Lorain Hospital | Lorain | $135.60 | not published | 0 |
| Urbana Hospital | Urbana | $135.60 | not published | 0 |
| Springfield Medical Center | Springfield | $135.60 | not published | 0 |
| St Anne Hospital | Toledo | $135.60 | not published | 0 |
| Jewish Hospital | Cincinnati | $136.80 | not published | 0 |
| Anderson Hospital | Cincinnati | $136.80 | not published | 0 |
| Clermont Hospital | Batavia | $136.80 | not published | 0 |
| Kings Mills Hospital | Mason | $136.80 | not published | 0 |
| Fairfield Hospital | Fairfield | $136.80 | not published | 0 |
| Mercy West Hospital | Cincinnati | $136.80 | not published | 0 |
| Willard Hospital | Willard | $139.20 | not published | 0 |
| Tiffin Hospital | Tiffin | $155.40 | not published | 0 |
| Defiance Hospital | Defiance | $166.80 | not published | 0 |
| Trinity Medical Center East | Steubenville | $373.44 | $12.87 – $504.51 | 12 |
| Parkview Bryan Hospital | Bryan | not published | $26.07 – $78.21 | 3 |
| lodi hospital | Lodi | not published | $13.42 – $129.45 | 7 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $116.67 – $135.09 | 7 |