Cancer patient getting treatment , the COA report said that these hospitals are marking up oncology drugs at rates that are "problematic" because they result in much higher costs than drugs in community oncology practices. (Photo: Shutterstock)

A report finding that safety-net hospitals are charging 3.8 times more than the purchase price for oncology drugs has sparked pushback from hospitals, which say the report had too small a sample size and did not accurately reflect costs to consumers.

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