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
DAPTOMYCIN 700 MG/100 ML IN 0.9 % SODIUM CHLOR INTRAVENOUS PIGGYBACK
Low
$0
Average
$27
Median
$0
High
$702
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
322 hospitals; the 90th percentile is 1137.4× 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
362 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Buchanan County Health Center Independence, IA facility · other · outpatient | 1 | $42 | $42 | — | — | 3–30 | $42 – $42 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $62 | $80 | $29 | 37% | — | $51 – $116 |
| 3 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 9 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 10 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 11 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $5 | $4 | $0 | 5% | — | $4 – $5 |
| 12 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 13 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $3 | $3 | $0 | 5% | — | $3 – $3 |
| 14 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 15 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $5 | $4 | $0 | 5% | — | $4 – $5 |
| 16 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $5 | $4 | $0 | 5% | — | $4 – $5 |
| 17 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 18 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $2 | $2 | $0 | 5% | — | $2 – $2 |
| 19 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 20 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $5 |
| 21 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0874 · Snapshot 20261111T120946Z-9134e7f7