Mouth piece cost in Louisiana

Mouth piece · HCPCS A4617

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $4.24 – $7.58 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $2.17 – $4.76 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $2.17 – $4.76 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $2.17 – $4.76 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $2.17 – $10.18 5
CHRISTUS Coushatta Health Care Center Coushatta not published $2.17 – $2.17 1