Infect ag phenotype na hiv-1 ea addl drg cost in Texas
HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904
$21.78
lowest in Texas
$199.73
state median
$669.06
highest in Texas
$77.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $21.78 | $20.60 – $193.80 | 34 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $24.12 | $21.90 – $193.80 | 57 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $24.12 | $21.90 – $193.80 | 58 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $29.25 | $20.60 – $193.80 | 35 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $45.27 | $21.90 – $193.80 | 34 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $45.27 | $21.90 – $193.80 | 34 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $56.88 | $20.60 – $193.80 | 34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $199.73 | $10.00 – $85.16 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $199.73 | $12.00 – $102.19 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $199.73 | $12.00 – $85.16 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $199.73 | $10.00 – $85.16 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $199.73 | $12.00 – $102.19 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $199.73 | $8.00 – $102.19 | 15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $199.73 | $10.00 – $85.16 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $199.73 | $10.00 – $85.16 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $199.73 | $21.90 – $85.16 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $199.73 | $10.00 – $85.16 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $199.73 | $10.00 – $85.16 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $199.73 | $10.00 – $85.16 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $199.73 | $10.00 – $85.16 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $199.73 | $12.00 – $134.78 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $199.73 | $10.00 – $85.16 | 26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $199.73 | $12.00 – $102.19 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $199.73 | $12.00 – $90.84 | 27 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $199.73 | $12.00 – $102.19 | 29 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $199.73 | $10.00 – $85.16 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $199.73 | $10.00 – $85.16 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $199.73 | $10.00 – $85.16 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $199.73 | $10.00 – $85.16 | 24 |
| Adventhealth Central Texas | Killeen | $303.50 | $23.46 – $100.37 | 5 |
| Texas Health Hospital Mansfield | Mansfield | $347.12 | $26.07 – $105.12 | 5 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $347.12 | $26.07 – $105.12 | 5 |
| HCA HOUSTON MEDICAL CENTER | Houston | $586.87 | $21.90 – $107.34 | 28 |
| Ascension Providence | Waco | $669.06 | $21.90 – $318.57 | 29 |
| Covenant Hospital Levelland | Levelland | not published | $25.29 – $27.50 | 4 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $21.46 – $107.34 | 37 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $21.90 – $193.80 | 29 |
| Covenant Children's Hospital | Lubbock | not published | $56.95 – $113.67 | 2 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $21.90 – $107.34 | 29 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $21.46 – $107.34 | 38 |
| HCA HOUSTON CONROE | CONROE | not published | $21.46 – $107.34 | 36 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $21.46 – $107.34 | 39 |
| Covenant Hospital Plainview | Plainview | not published | $25.29 – $27.50 | 4 |
| HCA HOUSTON PEARLAND | Pearland | not published | $21.90 – $107.34 | 30 |
| Covenant Medical Center | Lubbock | not published | $26.07 – $113.67 | 5 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $21.90 – $107.34 | 30 |
| Adventhealth Rollins Brook | Lampasas | not published | $23.46 – $100.37 | 2 |
| HCA HOUSTON WEST | HOUSTON | not published | $21.46 – $107.34 | 37 |