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
CEFTAZIDIME-AVIBACTAM 2.5 GRAM IV SOLR [128163]
Low
$74
Average
$643
Median
$105
High
$5.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
137 hospitals; the 90th percentile is 20.8× 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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149 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 | $629 | $629 | — | — | — | $629 – $629 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 6 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 7 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 8 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 10 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 12 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 13 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | $83 | 5% | — | $1.6k – $1.8k |
| 14 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 17 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 18 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $105 | $105 | — | — | — | $105 – $105 |
| 19 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 21 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 22 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $723 | $723 | — | — | — | $723 – $723 |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 24 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 25 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $97 | $97 | $3 | 3% | — | $94 – $100 |
← Payers reporting HCPCS J0714 · Snapshot 20261111T120946Z-9134e7f7