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.
Original text from hospital filings
Thera par drugs 2 or > admin
Low
$1
Average
$103
Median
$82
High
$671
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 139 hospitals; the 90th percentile is 10.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $44 | $44 | $5 | 10% | — | $38 – $51 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $104 | $82 | $28 | 35% | — | $38 – $104 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $23 | $51 | $61 | 119% | — | $23 – $180 |
| 6 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Covenant Medical Center Lubbock, TX | $78 | $78 | — | — | — | $78 – $78 |
| 8 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Vhs Of Arrowhead, Inc Surprise, AZ | $157 | $157 | — | — | — | $157 – $157 |
| 10 | University Medical Center of Southern Nevada Las Vegas, NV | $29 | $29 | $2 | 8% | — | $29 – $43 |
Ask Claude or any MCP client for HCPCS D9612 pricing at a specific hospital — see how to connect.