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
CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION
Low
$27
Average
$84
Median
$48
High
$409
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 6.1× 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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26 hospital rates
iThe hospitals that file a Medicaid 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 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 4 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 6 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 7 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 9 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 10 | Mercy Hospital Ozark Ozark, AR facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 11 | Mercy Hospital Paris Paris, AR facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 12 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | $8 | 14% | — | $51 – $68 |
| 13 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 14 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 2 | $27 | $27 | $21 | 79% | — | $6 – $49 |
| 16 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 17 | NYU Langone Mineola, NY case rate · outpatient | 15 | $51 | $51 | — | — | — | $51 – $51 |
| 18 | NYU Langone Brooklyn, NY case rate · outpatient | 15 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | NYU Langone New York, NY case rate · outpatient | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 20 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · outpatient | 15 | $45 | $45 | — | — | — | $45 – $45 |
| 21 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 22 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 23 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 24 | Sharp Mesa Vista Hospital San Diego, CA percent of total billed charges · inpatientfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 25 | Stephens County Hospital Toccoa, GA fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting HCPCS J0720 · Snapshot 20261111T120946Z-9134e7f7