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
Aztreonam/avibactam 10 mg
Low
$1
Average
$128
Median
$3
High
$1.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
170 hospitals; the 90th percentile is 248.4× 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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207 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 5 | $2 | $3 | $0 | 16% | — | $2 – $3 |
| 8 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 12 | Chesapeake General Hospital Chesapeake, VA facility · fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 7 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 23% | — | $2 – $3 |
| 15 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 3 | $2 | $2 | $0 | 7% | — | $2 – $2 |
| 16 | Cottage Health SANTA BARBARA, CA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Cottage Health Santa Barbara, CA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 19 | Duke University Hospital Durham, NC facility · percent of total billed charges · bothfrom % of charges | 2 | $705 | $705 | $269 | 38% | — | $436 – $974 |
| 20 | Duke University Hospital Durham, NC facility · percent of total billed charges · inpatientfrom % of charges | 3 | $484 | $581 | $196 | 34% | — | $482 – $974 |
| 21 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $484 | $644 | $234 | 36% | — | $472 – $974 |
| 22 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · bothfrom % of charges | 2 | $705 | $705 | $269 | 38% | — | $436 – $974 |
| 23 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · inpatientfrom % of charges | 3 | $484 | $581 | $196 | 34% | — | $482 – $974 |
| 24 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $484 | $644 | $234 | 36% | — | $472 – $974 |
| 25 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS J0458 · Snapshot 20261113T090226Z-3ce6c0b8