Riboflavin 5'phos opth<=3ml cost in Texas
Riboflavin 5'Phos opth<=3ml · HCPCS J2787
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Covenant Hospital Levelland | Levelland | not published | $5,286.75 – $5,286.75 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $2,793.00 – $5,627.95 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $1,885.28 – $1,885.28 | 1 |
| Adventhealth Central Texas | Killeen | not published | $5,486.25 – $5,486.25 | 1 |
| Covenant Hospital Plainview | Plainview | not published | $5,286.75 – $5,286.75 | 1 |
| Covenant Children's Hospital | Lubbock | not published | $5,329.50 – $9,462.00 | 3 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $2,793.00 – $5,627.95 | 3 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $2,793.00 – $5,627.95 | 3 |
| HCA HOUSTON CONROE | CONROE | not published | $2,793.00 – $5,627.95 | 3 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,793.00 – $5,627.95 | 3 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2,793.00 – $5,627.95 | 3 |
| HCA HOUSTON PEARLAND | Pearland | not published | $2,793.00 – $5,627.95 | 3 |
| Texas Health Hospital Mansfield | Mansfield | not published | $1,885.28 – $1,885.28 | 1 |
| Covenant Medical Center | Lubbock | not published | $5,329.50 – $9,462.00 | 3 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,793.00 – $5,627.95 | 3 |
| Adventhealth Rollins Brook | Lampasas | not published | $5,486.25 – $5,486.25 | 1 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,793.00 – $5,627.95 | 3 |