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
DEXMEDETOMIDINE 400 MCG/100 ML INFUSION PREMIX
Low
$0
Average
$26
Median
$1
High
$515
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
237 hospitals; the 90th percentile is 87.4× 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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266 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 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $60 | $70 | $54 | 77% | 693 | $18 – $143 |
| 2 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $94 | $108 | 115% | 667 | $18 – $358 |
| 3 | LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $44 | $65 | $49 | 76% | 269 | $18 – $143 |
| 4 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $48 | $34 | 69% | 233 | $18 – $99 |
| 5 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 41% | — | $1 – $2 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $1 | $1 | $0 | 42% | — | $1 – $2 |
| 7 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $38 | $38 | $5 | 14% | — | $33 – $44 |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $52 | $46 | $21 | 46% | — | $9 – $66 |
| 9 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | — | — | — | $528 – $528 |
| 11 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $488 | $488 | — | — | — | $488 – $488 |
| 13 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $1 | $1 | $0 | 13% | — | $1 – $1 |
| 17 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Appalachian Regional Healthcare, Inc. Beckley, WV percent of total billed charges · bothfrom % of charges | 1 | $620 | $620 | — | — | — | $620 – $620 |
| 20 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · bothfrom % of charges | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 22 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · inpatientfrom % of charges | 1 | $655 | $655 | — | — | — | $655 – $655 |
| 24 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 25 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J1105 · Snapshot 20261111T120946Z-9134e7f7