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
$2
Average
$19
Median
$2
High
$275
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 1.0× 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.
Filter by billing methodology
Filter by billing class
30 hospital rates
iThe hospitals that file a Medicare 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 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Cookeville Regional Medical Center Cookeville, TN facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 23 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $275 | $275 | — | — | — | $275 – $275 |
| 24 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $240 | $240 | — | — | — | $240 – $240 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS J0211 · Snapshot 20261111T120946Z-9134e7f7