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
ACETAMINOPHEN 10 MG/ML IV SOLN EXTEMP BAG
The 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.
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75 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $45.60 | $45.60 – $45.60 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $9.77 | $8.05 – $14.91 |
| 3 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15.36 | $9.48 – $24.94 |
| 4 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.92 | $9.21 – $24.23 |
| 5 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.92 | $9.21 – $24.23 |
| 6 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18.86 | $11.64 – $30.64 |
| 7 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $32.00 | $32.00 – $32.00 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $6,458 | $6,458 – $6,458 |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $9.42 | $0.19 – $18.64 |
| 10 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $7,567 | $7,567 – $7,567 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $47.54 | $47.54 – $47.54 |
| 12 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $70.94 | $70.94 – $70.94 |
| 13 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53.33 | $23.31 – $83.35 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0.43 | $0.21 – $0.91 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0.41 | $0.20 – $0.86 |
| 16 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26.67 | $26.67 – $26.67 |
| 17 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.43 | $22.43 – $22.43 |
| 18 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $49.12 | $49.12 – $49.12 |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $253.75 | $253.75 – $253.75 |
| 20 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $56.00 | $56.00 – $56.00 |
| 21 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $0.05 | $0.05 – $0.05 |
| 22 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $133.17 | $35.29 – $166.00 |
| 23 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $192.03 | $63.25 – $312.40 |
| 24 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $238.96 | $237.35 – $240.56 |
| 25 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $38.13 | $38.00 – $38.25 |
← Payers reporting HCPCS J0131 · Snapshot 20261109T115250Z-6452cf6e