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
$0
Average
$1.4k
Median
$42
High
$19.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1613 hospitals; the 90th percentile is 269.8× 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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2,693 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | St Josephs Hospital Health Center Syracuse, NY facility · other · outpatient | 1 | $16 | $16 | — | — | 3,300 | $16 – $16 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $19 | $27 | $24 | 89% | 62 | $4 – $78 |
| 3 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $16 | $16 | — | — | 57 | $16 – $16 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $2.8k | $2.8k | $2.7k | 99% | 40–58 | $16 – $5.5k |
| 5 | Pitt County Memorial Hospital, Inc. Greenville, NC other · both | 2 | $16 | $16 | — | — | 34 | $16 – $16 |
| 6 | Pitt County Memorial Hospital, Inc. Washington, NC other · both | 2 | $16 | $16 | — | — | 34 | $16 – $16 |
| 7 | East Carolina Health-Heritage, Inc. Tarboro, NC other · both | 2 | $16 | $16 | — | — | 21 | $16 – $16 |
| 8 | Plymouth Medical Center Plymouth, IN facility · other · both | 2 | $12 | $12 | $3 | 28% | 20 | $9 – $16 |
| 9 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC other · both | 2 | $16 | $16 | — | — | 18 | $16 – $16 |
| 10 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 2 | $4.9k | $4.8k | $171 | 4% | 12–120 | $4.6k – $5.0k |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $16 | $16 | — | — | 12 | $16 – $16 |
| 12 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $5.8k | $23.0k | $18.1k | 79% | 10–100 | $4.4k – $42.0k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $3 | 35% | 5–50 | $4 – $12 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $3 | 35% | 5–50 | $4 – $12 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $2 | 35% | 5–50 | $4 – $10 |
| 16 | Saint Luke’s North Hospital Smithville, MO fee schedule · both | 14 | $2.6k | $2.4k | $258 | 11% | 4–40 | $1.9k – $2.6k |
| 17 | Saint Luke’s North Hospital City, KS fee schedule · both | 14 | $2.6k | $2.4k | $258 | 11% | 4–40 | $1.9k – $2.6k |
| 18 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.8k | $2.8k | $2.8k | 99% | 3–30 | $29 – $5.6k |
| 19 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 3 | $30 | $1.8k | $2.4k | 140% | 3–30 | $18 – $5.2k |
| 20 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $15 | $15 | — | — | 2–20 | $15 – $15 |
| 21 | Inspira Medical Center Mannington Salem, NJ other · outpatient | 1 | $3.7k | $3.7k | — | — | 2–20 | $3.7k – $3.7k |
| 22 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $12 | $13 | 106% | 2–20 | $1 – $40 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA other · both | 1 | $3.3k | $3.3k | — | — | 2–20 | $3.3k – $3.3k |
| 24 | Weeks Medical Center Lancaster, NH facility · fee schedule · both | 1 | $20 | $20 | $16 | 81% | 2–20 | $4 – $36 |
| 25 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
← Payers reporting HCPCS J0875 · Snapshot 20261113T090226Z-3ce6c0b8