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
COSYNTROPIN 0.25 MG
Low
$3
Average
$107
Median
$71
High
$465
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 3.5× 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
31 hospital rates
iThe hospitals that file a Aetna 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 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $465 | $465 | — | — | — | $465 – $465 |
| 5 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 6 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 8 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | $21 | 36% | — | $38 – $80 |
| 9 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 10 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $465 | $465 | — | — | — | $465 – $465 |
| 11 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 12 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · bothfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 14 | Montefiore Medical Center Bronx, NY fee schedule · both | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 15 | Munson Healthcare Grayling Grayling, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 16 | Munson Healthcare Grayling Grayling, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 18 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $0 | 2% | — | $20 – $20 |
| 21 | Northern Itasca Hospital District Bigfork, MN other · both | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 22 | Northern Itasca Hospital District Bigfork, MN percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 23 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $63 | $44 | 70% | — | $26 – $125 |
| 24 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $63 | $44 | 70% | — | $26 – $125 |
| 25 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $71 | $49 | 70% | — | $29 – $140 |
← Payers reporting HCPCS J0833 · Snapshot 20261113T090226Z-3ce6c0b8