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
$1
Average
$2.0k
Median
$587
High
$53.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1383 hospitals; the 90th percentile is 346.6× 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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2,321 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $35 | $33 | 94% | 54 | $4 – $103 |
| 2 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $16 | $16 | — | — | 42 | $16 – $16 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $18 | $14 | 77% | 26 | $4 – $48 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $16 | $9 | 56% | 5–50 | $4 – $36 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $22 | $14 | 64% | 5–50 | $4 – $53 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $9 | $3 | 35% | 5–50 | $5 – $14 |
| 7 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $4.7k | $4.7k | — | — | 4–40 | $4.7k – $4.7k |
| 8 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $2.8k | $2.8k | $64 | 2% | 2–20 | $2.8k – $2.9k |
| 9 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | — | — | 2–20 | $15 – $15 |
| 10 | Inspira Medical Center Mannington Salem, NJ other · outpatient | 1 | $3.7k | $3.7k | — | — | 2–20 | $3.7k – $3.7k |
| 11 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $22 | $24 | 109% | 2–20 | $2 – $63 |
| 12 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 11 | $2.0k | $2.7k | $1.3k | 48% | 2–20 | $1.4k – $5.1k |
| 13 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 11 | $2.0k | $2.7k | $1.3k | 48% | 2–20 | $1.4k – $5.1k |
| 14 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 15 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 16 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 17 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $90 | $71 | $32 | 44% | 1–10 | $17 – $90 |
| 18 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY percent of total billed charges · outpatientfrom % of charges | 1 | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 20 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $11.0k | $11.0k | — | — | 1–10 | $11.0k – $11.0k |
| 21 | Grafton City Hospital Grafton, WV percent of total billed charges · outpatientfrom % of charges | 2 | $2.8k | $2.8k | $660 | 23% | 1–10 | $2.2k – $3.5k |
| 22 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC other · both | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 23 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 24 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 3 | $2.6k | $3.0k | $982 | 33% | 1–10 | $2.1k – $4.7k |
| 25 | North Oaks Medical Center Drive. Hammond, LA other · both | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
← Payers reporting HCPCS J0875 · Snapshot 20261111T120946Z-9134e7f7