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
$28
Average
$111
Median
$72
High
$295
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 9.3× 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.
Filter by billing methodology
Filter by billing class
44 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 | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 6 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 8 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 9 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 10 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 11 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 12 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $143 | $143 | — | — | — | $143 – $143 |
| 14 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 15 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 16 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 17 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 18 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 20 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 21 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 24 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 25 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
← Payers reporting HCPCS J0720 · Snapshot 20261111T120946Z-9134e7f7