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
IMIPENEM-CILASTATIN-RELEBACTAM 1.25 G (500 MG IMIPENEM)/20 ML (WET SOLR VIAL)
Low
$2
Average
$370
Median
$234
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 379.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 283 | $4 | $30 | $168 | 563% | 1–10 | $1 – $2.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 526 | $4 | $20 | $101 | 510% | — | $1 – $1.4k |
| 3 | Cigna fee schedule · outpatient · +19 other terms | 314 | $4 | $21 | $110 | 521% | — | $2 – $916 |
| 4 | Aetna fee schedule · outpatient · +21 other terms | 256 | $4 | $56 | $248 | 444% | — | $1 – $3.4k |
| 5 | Humana fee schedule · outpatient · +17 other terms | 230 | $3 | $66 | $201 | 305% | — | $1 – $916 |
| 6 | Anthem fee schedule · outpatient · +20 other terms | 94 | $3 | $6 | $19 | 296% | — | $2 – $163 |
| 7 | Molina fee schedule · outpatient · +20 other terms | 78 | $3 | $28 | $70 | 254% | — | $1 – $527 |
| 8 | WellCare fee schedule · outpatient · +10 other terms | 69 | $3 | $6 | $28 | 464% | — | $2 – $262 |
| 9 | Highmark facility · fee schedule · outpatient · +12 other terms | 55 | $4 | $5 | $3 | 62% | — | $1 – $15 |
| 10 | Kaiser fee schedule · both · +16 other terms | 46 | $3 | $7 | $27 | 377% | — | $3 – $190 |
| 11 | MultiPlan fee schedule · outpatient · +13 other terms | 44 | $273 | $466 | $578 | 124% | — | $3 – $2.2k |
| 12 | Caresource fee schedule · outpatient · +14 other terms | 40 | $3 | $10 | $40 | 416% | — | $1 – $262 |
| 13 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $8 | $8 | $3 | 43% | — | $2 – $15 |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 31 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 15 | Medica fee schedule · outpatient · +14 other terms | 30 | $125 | $134 | $355 | 264% | — | $3 – $1.4k |
| 16 | Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms | 29 | $3 | $14 | $49 | 344% | — | $3 – $259 |
| 17 | Optum facility · fee schedule · outpatient · +13 other terms | 24 | $3 | $13 | $67 | 510% | — | $2 – $435 |
| 18 | Oscar facility · fee schedule · outpatient · +11 other terms | 24 | $3 | $3 | $1 | 17% | — | $3 – $5 |
| 19 | Aetna Better Health fee schedule · outpatient · +12 other terms | 22 | $3 | $3 | $0 | 7% | — | $3 – $3 |
| 20 | Ambetter facility · fee schedule · outpatient · +11 other terms | 22 | $6 | $5 | $1 | 20% | — | $3 – $6 |
| 21 | Regence professional · fee schedule · outpatient · +8 other terms | 21 | $2 | $2 | $0 | 7% | — | $2 – $3 |
| 22 | Clover fee schedule · outpatient · +5 other terms | 19 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 23 | Healthpartners fee schedule · outpatient · +5 other terms | 18 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 24 | Medical Mutual fee schedule · outpatient · +6 other terms | 16 | $5 | $5 | $1 | 17% | — | $4 – $6 |
| 25 | Phcs fee schedule · inpatient · +9 other terms | 16 | $1.0k | $1.0k | $185 | 18% | — | $916 – $1.4k |
← Hospitals reporting HCPCS J0742 · Snapshot 20261111T120946Z-9134e7f7