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
$21
Median
$1
High
$340
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
123 hospitals; the 90th percentile is 80.2× 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.
Filter by billing methodology
Filter by billing class
146 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $585 | $434 | $236 | 54% | — | $101 – $616 |
| 4 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $420 | $363 | $114 | 31% | — | $204 – $466 |
| 6 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $1 | $1 | $0 | 10% | — | $1 – $1 |
| 7 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 2 | $585 | $453 | $209 | 46% | — | $158 – $616 |
| 11 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 2 | $585 | $438 | $230 | 53% | — | $113 – $616 |
| 13 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 6 | $1 | $1 | $0 | 17% | — | $1 – $1 |
| 14 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · fee schedule · outpatient | 5 | $2 | $2 | $0 | 6% | — | $1 – $2 |
| 15 | Black River Health Inc Black River Falls, WI facility · fee schedule · outpatient | 2 | $29 | $31 | $7 | 23% | — | $25 – $45 |
| 16 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 13% | — | $1 – $1 |
| 17 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 2 | $1 | $1 | $0 | 20% | — | $1 – $1 |
| 19 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 24 | COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J1105 · Snapshot 20261111T120946Z-9134e7f7