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
$142
Median
$4
High
$899
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 199.0× 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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17 hospital rates
iThe hospitals that file a Excellus 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 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $2 | $5 | $5 | 92% | — | $1 – $12 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $3 | $4 | $2 | 45% | — | $3 – $6 |
| 3 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $899 | $899 | — | — | — | $899 – $899 |
| 7 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $4 | $4 | $2 | 37% | — | $3 – $6 |
| 8 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $5 | $5 | $2 | 48% | — | $3 – $7 |
| 9 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Samaritan Hospital Troy, NY facility · fee schedule · both | 3 | $325 | $330 | $7 | 2% | — | $325 – $341 |
| 11 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $665 | $665 | — | — | — | $665 – $665 |
| 12 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 13 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $3 | $4 | $2 | 55% | — | $3 – $8 |
| 14 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $8 | $8 | $5 | 66% | — | $3 – $13 |
| 15 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $2 | $2 | $1 | 28% | — | $1 – $3 |
| 16 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $2 | $1 | 51% | — | $1 – $3 |
| 17 | Upstate University Hospital Syracuse, NY facility · fee schedule · outpatient | 3 | $5 | $5 | $1 | 31% | — | $3 – $6 |
← Payers reporting HCPCS J0742 · Snapshot 20261111T120946Z-9134e7f7