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CPT J1552

Inj- alyglo- 500 mg

Reported by 27 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$122

Average

$142

Median

$130

High

$233

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$91$130$186$521$137
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$124$130$131$151$9
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$102$129$125$147$14
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$124$129$130$147$7
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$124$126$129$147$6
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$124$129$130$147$7
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$130$247$233$358$82
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$50$156$178$339$71
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$124$127$129$147$6
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$50$130$131$134$2
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