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
INJ., ERAVACYCLINE, 1 MG
Low
$1
Average
$139
Median
$3
High
$819
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 325.7× 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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43 hospital rates
iThe hospitals that file a Tricare 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 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 4 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $819 | $819 | — | — | — | $819 – $819 |
| 5 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 14 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $204 | $204 | $54 | 26% | — | $150 – $257 |
| 24 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $268 | $256 | $168 | 66% | — | $44 – $455 |
← Payers reporting HCPCS J0122 · Snapshot 20261111T120946Z-9134e7f7