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
$157
Median
$59
High
$20.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1014 hospitals; the 90th percentile is 8.0× 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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1,363 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $74 | $71 | $35 | 49% | 24–240 | $19 – $122 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $32 | $50 | $33 | 66% | 12–120 | $19 – $111 |
| 3 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 2 | $22 | $22 | — | — | 8–80 | $22 – $22 |
| 4 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $74 | $72 | $4 | 5% | 5–50 | $59 – $74 |
| 5 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $37 | $33 | $5 | 15% | 3–30 | $26 – $37 |
| 6 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $40 | $40 | — | — | 3–30 | $40 – $40 |
| 7 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 2 | $353 | $410 | $292 | 71% | 3–30 | $108 – $825 |
| 8 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $70 | $70 | $3 | 4% | 2–20 | $67 – $73 |
| 9 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $37 | $37 | — | — | 2–20 | $37 – $37 |
| 10 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 2 | $170 | $170 | — | — | 2–20 | $170 – $170 |
| 11 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $230 | $230 | — | — | 2–20 | $230 – $230 |
| 12 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 12 | $2.5k | $2.2k | $1.8k | 81% | 2–20 | $300 – $5.7k |
| 13 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 12 | $2.5k | $2.2k | $1.8k | 81% | 2–20 | $300 – $5.7k |
| 14 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $174 | $174 | — | — | 2–20 | $174 – $174 |
| 15 | Wythe County Community Hospital Wytheville, VA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 16 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 17 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $398 | $398 | $76 | 19% | 1–10 | $322 – $473 |
| 18 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 19 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $47 | $70 | $40 | 57% | 1–10 | $10 – $123 |
| 20 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $70 | $74 | $9 | 13% | 1–10 | $70 – $93 |
| 21 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 6 | $76 | $91 | $24 | 27% | 1–10 | $69 – $132 |
| 22 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $324 | $324 | — | — | 1–10 | $324 – $324 |
| 23 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 24 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $21 | $21 | — | — | — | $21 – $21 |
| 25 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $72 | $74 | $9 | 12% | — | $65 – $86 |
← Payers reporting HCPCS J1120 · Snapshot 20261111T120946Z-9134e7f7