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, nithiodote, 3mg / 125mg
Low
$152
Average
$385
Median
$288
High
$1.3k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 4.7× 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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30 hospital rates
iThe hospitals that file a Carefirst 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 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 2 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 3 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 4 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $1.0k | $1.0k | $30 | 3% | — | $969 – $1.0k |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $1.0k | $1.0k | $32 | 3% | — | $974 – $1.0k |
| 6 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 7 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 8 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 9 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 10 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 11 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 12 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 13 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 15 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $633 | $633 | — | — | — | $633 – $633 |
| 16 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 17 | RESTON HOSPITAL CENTER Reston, VA percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | STONESPRINGS HOSPITAL CENTER Dulles, VA percent of total billed charges · outpatientfrom % of charges | 2 | $328 | $328 | — | — | — | $328 – $328 |
| 19 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $862 | $690 | $210 | 30% | — | $433 – $862 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $699 | $699 | — | — | — | $699 – $699 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 22 | Saint Marys Hospital Waterbury, CT facility · fee schedule · both | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 23 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 24 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 25 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $435 | $435 | — | — | — | $435 – $435 |
← Payers reporting HCPCS J0211 · Snapshot 20261111T120946Z-9134e7f7