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
Tetracyclin injection
Low
$0
Average
$32
Median
$18
High
$400
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 1.9× 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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26 hospital rates
iThe hospitals that file a Cigna 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 6 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $12 | $12 | $1 | 9% | — | $11 – $13 |
| 4 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | $4 | 23% | — | $13 – $21 |
| 5 | Kalkaska Memorial Health Center Kalkaska, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 5 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 7 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 8 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 9 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 5 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 10 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 11 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 12 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 13 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Memorial Healthcare Owosso, MI fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 21 | Paul Oliver Memorial Hospital Frankfort, MI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | STONE OAK REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 11% | — | $15 – $20 |
| 23 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 24 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 25 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
← Payers reporting HCPCS J0120 · Snapshot 20261112T181611Z-3fa9fb76