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
AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE (PREMIX:ISO-OSMOTIC/CNR IN D5W)
Low
$2
Average
$1.0k
Median
$93
High
$21.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 127.7× 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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80 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $85 | $85 | $12 | 14% | — | $73 – $97 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $94 | $93 | $64 | 69% | — | $14 – $225 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $392 | $392 | $56 | 14% | — | $336 – $448 |
| 5 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | $8 | 16% | — | $39 – $55 |
| 6 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $724 | $724 | — | — | — | $724 – $724 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $724 | $724 | — | — | — | $724 – $724 |
| 9 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $528 | $528 | $75 | 14% | — | $453 – $603 |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | $14 | 14% | — | $85 – $113 |
| 11 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | $12 | 14% | — | $71 – $95 |
| 12 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 13 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $724 | $724 | — | — | — | $724 – $724 |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $198 | $198 | $28 | 14% | — | $170 – $226 |
| 15 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $259 | $259 | $37 | 14% | — | $222 – $296 |
| 16 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $129 | $132 | $98 | 74% | — | $12 – $258 |
| 17 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $129 | $132 | $98 | 74% | — | $12 – $258 |
| 18 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $129 | $132 | $98 | 74% | — | $12 – $258 |
| 19 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 20 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · outpatient | 1 | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 21 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · outpatient | 1 | $582 | $582 | — | — | — | $582 – $582 |
| 22 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS other · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 23 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 24 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · outpatient | 1 | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
| 25 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $144 | $144 | $7 | 5% | — | $137 – $151 |
← Payers reporting HCPCS J0283 · Snapshot 20261111T120946Z-9134e7f7