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
$166
Median
$0
High
$1.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 13205.2× 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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33 hospital rates
iThe hospitals that file a WellCare 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $67 | $15 | 23% | — | $52 – $88 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | $73 | 7% | — | $929 – $1.1k |
| 5 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $244 | $244 | — | — | — | $244 – $244 |
| 6 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $244 | $244 | — | — | — | $244 – $244 |
| 8 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Franklin Woods Community Hospital JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | $73 | 7% | — | $929 – $1.1k |
| 11 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $244 | $244 | — | — | — | $244 – $244 |
| 13 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $929 | $929 | — | — | — | $929 – $929 |
| 18 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Johnson City Medical Center JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | $73 | 7% | — | $929 – $1.1k |
| 23 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0874 · Snapshot 20261111T120946Z-9134e7f7