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
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION
Low
$8
Average
$1.7k
Median
$1.3k
High
$7.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 101.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +25 other terms | 176 | $23 | $240 | $1.5k | 616% | 7–70 | $14 – $13.1k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 427 | $24 | $372 | $1.5k | 401% | 4–40 | $0 – $13.7k |
| 3 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 716 | $26 | $296 | $1.2k | 390% | 1–10 | $0 – $14.8k |
| 4 | Aetna fee schedule · outpatient · +27 other terms | 485 | $22 | $603 | $2.4k | 400% | 1–10 | $1 – $53.9k |
| 5 | Cigna fee schedule · outpatient · +25 other terms | 420 | $23 | $523 | $1.6k | 315% | 1–10 | $12 – $9.2k |
| 6 | Humana fee schedule · outpatient · +23 other terms | 413 | $16 | $582 | $2.1k | 367% | 1–10 | $0 – $28.8k |
| 7 | First Health fee schedule · outpatient · +17 other terms | 30 | $5.4k | $5.2k | $3.4k | 65% | 1–10 | $16 – $15.0k |
| 8 | Molina fee schedule · outpatient · +24 other terms | 165 | $22 | $595 | $1.5k | 259% | — | $1 – $10.5k |
| 9 | WellCare fee schedule · outpatient · +18 other terms | 152 | $16 | $213 | $748 | 351% | — | $11 – $3.9k |
| 10 | Caresource fee schedule · outpatient · +17 other terms | 96 | $18 | $67 | $430 | 641% | — | $1 – $5.7k |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 84 | $28 | $540 | $1.6k | 299% | — | $12 – $11.3k |
| 12 | MultiPlan fee schedule · outpatient · +15 other terms | 82 | $6.0k | $5.4k | $5.7k | 107% | — | $16 – $28.8k |
| 13 | Ambetter fee schedule · outpatient · +16 other terms | 65 | $27 | $174 | $1.1k | 606% | — | $14 – $11.2k |
| 14 | Devoted fee schedule · outpatient · +13 other terms | 62 | $16 | $33 | $162 | 492% | — | $14 – $1.6k |
| 15 | Highmark facility · fee schedule · outpatient · +17 other terms | 57 | $21 | $179 | $823 | 458% | — | $10 – $4.7k |
| 16 | Optum fee schedule · outpatient · +18 other terms | 50 | $16 | $1.7k | $2.8k | 165% | — | $14 – $9.5k |
| 17 | Medica fee schedule · outpatient · +18 other terms | 45 | $1.0k | $816 | $2.0k | 243% | — | $0 – $7.4k |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms | 37 | $16 | $241 | $1.3k | 522% | — | $15 – $9.3k |
| 19 | Oscar facility · fee schedule · outpatient · +15 other terms | 36 | $20 | $21 | $5 | 22% | — | $12 – $29 |
| 20 | Medicare fee schedule · outpatient · +14 other terms | 30 | $15 | $21 | $47 | 218% | — | $15 – $390 |
| 21 | Tricare facility · fee schedule · outpatient · +15 other terms | 29 | $6.4k | $4.0k | $3.4k | 85% | — | $15 – $10.7k |
| 22 | Bcbs Tx fee schedule · outpatient · +4 other terms | 28 | $52 | $53 | $24 | 46% | — | $15 – $105 |
| 23 | Clover fee schedule · outpatient · +8 other terms | 28 | $17 | $75 | $135 | 181% | — | $15 – $390 |
| 24 | Regence facility · fee schedule · both · +17 other terms | 28 | $1.7k | $2.2k | $862 | 40% | — | $1.6k – $5.2k |
| 25 | Aetna Better Health fee schedule · outpatient · +15 other terms | 27 | $16 | $329 | $1.2k | 360% | — | $16 – $5.3k |
← Hospitals reporting HCPCS J0875 · Snapshot 20261111T120946Z-9134e7f7