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
DEXTENZA 0.4MG INSERT
Low
$2
Average
$449
Median
$137
High
$1.3k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 593.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Appalachian Regional Healthcare, Inc. Whitesburg, KY | $103 | $103 | — | — | 2–20 | $103 – $4.0k |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $1.8k | $1.3k | $820 | 64% | — | $103 – $3.6k |
| 3 | Northside Hospital, Inc. Canton, GA | $1.8k | $1.3k | $812 | 62% | — | $103 – $3.6k |
| 4 | Northside Hospital, Inc. Atlanta, GA | $1.8k | $1.3k | $796 | 60% | — | $103 – $3.6k |
| 5 | Northside Hospital, Inc. Duluth, GA | $1.8k | $1.3k | $819 | 64% | — | $103 – $3.6k |
| 6 | Northside Hospital, Inc. Cumming, GA | $1.8k | $1.3k | $813 | 62% | — | $103 – $3.6k |
| 7 | Akron General Medical Center Akron, OH | $2 | $2 | — | — | — | $2 – $258 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH | $2 | $2 | — | — | — | $2 – $258 |
| 9 | Fairview Hospital Cleveland, OH | $2 | $2 | — | — | — | $2 – $258 |
| 10 | Cleveland Clinic Health System - East Region Mayfield Heights, OH | $2 | $2 | — | — | — | $2 – $258 |
Ask Claude or any MCP client for HCPCS J1096 pricing at a specific hospital — see how to connect.