APC 9258
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
Telavancin injection
Low
$7
Average
$70
Median
$7
High
$908
Each hospital's average Optum rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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15 hospital rates
iThe hospitals that file a Optum rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 2 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Jefferson County HMA LLC Jefferson City, TN facility · per diem · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · per diem · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 5 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Metro Knoxville HMA LLC Powell, TN facility · per diem · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Metro Knoxville HMA LLC Knoxville, TN facility · per diem · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 2 | $7 | $7 | $0 | 2% | — | $7 – $7 |
| 11 | RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 13 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 3 | $1.2k | $908 | $644 | 71% | — | $6 – $1.5k |
| 15 | Vicksburg Healthcare LLC Vicksburg, MS facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting APC 9258 · Snapshot 20261111T120946Z-9134e7f7