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
ACETAZOLAMIDE SODIUM 500 MG INJ SOLR [114]
Low
$0
Average
$137
Median
$79
High
$6.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1454 hospitals; the 90th percentile is 8.4× 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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2,154 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 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 3 | $41 | $41 | — | — | 15–150 | $41 – $41 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $38 | $20 | 53% | 6–60 | $17 – $77 |
| 3 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $23 | $23 | — | — | 6–60 | $23 – $23 |
| 4 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $34 | $30 | 89% | 6–60 | $3 – $76 |
| 5 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $65 | $52 | $19 | 35% | 3–30 | $26 – $65 |
| 6 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL percent of total billed charges · outpatientfrom % of charges | 3 | $119 | $116 | $59 | 51% | 1–10 | $43 – $187 |
| 7 | HCA FLORIDA UNIVERSITY HOSPITAL Davie, FL percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $128 | $106 | 82% | 1–10 | $13 – $278 |
| 8 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $49 | $25 | 51% | 1–10 | $18 – $80 |
| 9 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 2 | $362 | $375 | $322 | 86% | 1–10 | $46 – $1.1k |
| 10 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · bothfrom % of charges | 2 | $73 | $73 | $19 | 26% | 1–10 | $54 – $92 |
| 11 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $98 | $101 | $13 | 13% | 1–10 | $98 – $163 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $205 | $205 | $77 | 38% | 1–10 | $128 – $282 |
| 13 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $85 | $85 | $9 | 11% | 1–10 | $76 – $95 |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $277 | $277 | $46 | 17% | — | $231 – $323 |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $277 | $277 | $46 | 17% | — | $231 – $323 |
| 18 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 19 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 20 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 2 | $45 | $45 | — | — | — | $45 – $45 |
| 21 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 2 | $45 | $45 | — | — | — | $45 – $45 |
| 22 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 23 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 24 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 25 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $127 | $127 | — | — | — | $127 – $127 |
← Payers reporting HCPCS J1120 · Snapshot 20261111T120946Z-9134e7f7