Infect ag phenotype na hiv-1 ea addl drg cost in Virginia
HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904
$112.20
lowest in Virginia
$722.50
state median
$731.16
highest in Virginia
$77.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| RESTON HOSPITAL CENTER | VIENNA | $112.20 | $26.07 – $739.37 | 17 |
| Inova Alexandria Hospital | Alexandria | $722.50 | $26.07 – $909.05 | 9 |
| Inova Fairfax Hospital | Falls Church | $722.50 | $26.07 – $909.05 | 9 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $722.50 | $26.07 – $909.05 | 9 |
| Inova Loudoun Hospital | Leesburg | $722.50 | $26.07 – $909.05 | 9 |
| Inova Mount Vernon Hospital | Alexandria | $722.50 | $26.07 – $909.05 | 9 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $725.00 | $22.69 – $116.56 | 22 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $731.16 | $25.89 – $105.42 | 16 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $22.69 – $111.95 | 24 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $22.69 – $111.95 | 22 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $20.02 – $739.37 | 15 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $20.02 – $27.89 | 18 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $22.69 – $27.89 | 16 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $22.69 – $37.80 | 17 |