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 sodium thiosulfate 100mg
Low
$81
Average
$312
Median
$95
High
$4.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 4.9× 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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37 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $816 | $816 | — | — | — | $816 – $816 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 5 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 6 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 9 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 10 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $154 | $4.0k | $5.5k | 136% | — | $154 – $11.7k |
| 12 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 13 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 14 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 15 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 16 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 17 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 18 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 19 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 20 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 21 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 22 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 23 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 24 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 25 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $90 | $90 | $5 | 5% | — | $86 – $95 |
← Payers reporting HCPCS J0208 · Snapshot 20261112T181611Z-3fa9fb76