Infect ag phenotype na hiv-1 ea addl drg cost in Oklahoma
HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $27.62 – $40.59 | 2 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $27.62 – $63.42 | 7 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $27.62 – $49.47 | 7 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $26.07 – $58.66 | 29 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $26.07 – $71.88 | 29 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $26.07 – $104.28 | 30 |