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
BSS-EPINEPHRINE 1:1000 OPHTHALMIC 0.5 MG/500 ML
Low
$2
Average
$71
Median
$21
High
$1.0k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 11.5× 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.
Filter by billing methodology
Filter by billing class
78 hospital rates
iThe hospitals that file a Wellmark 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $273 | $273 | $236 | 87% | — | $37 – $509 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | $92 | 87% | — | $14 – $198 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $145 | $145 | $125 | 87% | — | $20 – $270 |
| 21 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | $31 | 69% | — | $14 – $76 |
| 22 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 25 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
← Payers reporting HCPCS J0166 · Snapshot 20261111T120946Z-9134e7f7