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
$37
Median
$1
High
$491
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
115 hospitals; the 90th percentile is 125.0× 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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123 hospital rates
iThe hospitals that file a Cigna 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 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY percent of total billed charges · bothfrom % of charges | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $1 | $1 | $0 | 33% | — | $1 – $1 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $66 | $69 | $15 | 22% | — | $52 – $89 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $55 | $12 | 22% | — | $47 – $75 |
| 10 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Boone Memorial Hospital Madison, WV percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $1 | $1 | $0 | 33% | — | $1 – $1 |
| 14 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Charles A. Dean Memorial Hospital Greenville, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 18 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 3 | $1 | $1 | $0 | 9% | — | $1 – $1 |
| 21 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 22 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $0 | $0 | $0 | 9% | — | $0 – $1 |
| 25 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J1105 · Snapshot 20261111T120946Z-9134e7f7