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
PR Dalbavancin Injection 5mg
Low
$0
Average
$1.0k
Median
$20
High
$12.9k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 335 hospitals; the 90th percentile is 241.0× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Josephs Hospital Health Center Syracuse, NY | $17 | $21 | $7 | 33% | 3,453 | $16 – $5.6k |
| 2 | St. Joseph Medical Center Bellingham, WA | $16 | $103 | $475 | 459% | 1,500 | $16 – $3.1k |
| 3 | Oktibbeha County Hospital STARKVILLE, MS | $16 | $19 | $7 | 39% | 42–78 | $14 – $6.2k |
| 4 | Plymouth Medical Center Plymouth, IN | $16 | $20 | $9 | 48% | 21–30 | $9 – $4.0k |
| 5 | Inspira Medical Center Mannington Salem, NJ | $3.7k | $3.7k | — | — | 20–200 | $1 – $3.7k |
| 6 | Mercy Health Hackley Campus Muskegon, MI | $15 | $15 | $4 | 29% | 13–22 | $9 – $5.2k |
| 7 | Mayo Clinic Health System Eau Claire 54703-5270 | $16 | $16 | $0 | 2% | 13–22 | $16 – $1.9k |
| 8 | Northwestern Medicine Delnor Hospital Geneva, IL | $3 | $3 | — | — | 6–60 | $3 – $6.2k |
| 9 | Buchanan County Health Center Independence, IA | $4.7k | $4.7k | $6 | 0% | 6–60 | $11 – $4.7k |
| 10 | Appalachian Regional Healthcare, Inc. Whitesburg, KY | $16 | $16 | — | — | 4–40 | $16 – $7.9k |
Ask Claude or any MCP client for HCPCS J0875 pricing at a specific hospital — see how to connect.