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
$2
Average
$1.1k
Median
$901
High
$2.5k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 908.4× 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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53 hospital rates
iThe hospitals that file a First Health 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $548 | $548 | — | — | — | $548 – $548 |
| 3 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 5 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $1.3k | $1.3k | $34 | 3% | — | $1.2k – $1.3k |
| 6 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 11 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | $3 | 0% | — | $1.3k – $1.3k |
| 21 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | $3 | 0% | — | $1.3k – $1.3k |
| 23 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $9 | 1% | — | $1.2k – $1.2k |
| 25 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $1.7k | $20 | 1% | — | $1.7k – $1.7k |
← Payers reporting HCPCS J0458 · Snapshot 20261113T090226Z-3ce6c0b8