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
Amifostine
Low
$492
Average
$1.4k
Median
$1.3k
High
$3.5k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 4.0× 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.
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15 hospital rates
iThe hospitals that file a Devoted 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $492 | $492 | — | — | — | $492 – $492 |
| 2 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $638 | $638 | — | — | — | $638 – $638 |
| 7 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 1 | $813 | $813 | — | — | — | $813 – $813 |
| 10 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 1 | $813 | $813 | — | — | — | $813 – $813 |
| 11 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $1.5k | $1.3k | $404 | 31% | — | $720 – $1.6k |
| 14 | Triad of Alabama LLC Dothan, AL facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | Vanderbilt Clarksville Hospital Clarksville, TN other · both | 1 | $611 | $611 | $610 | 100% | — | $0 – $1.2k |
← Payers reporting HCPCS J0207 · Snapshot 20261112T181611Z-3fa9fb76