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
$110
Median
$62
High
$6.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1552 hospitals; the 90th percentile is 8.5× 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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2,294 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $161 | $178 | $52 | 29% | 10–100 | $95 – $264 |
| 2 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | $7 | 4% | 2–20 | $176 – $191 |
| 3 | Alton Memorial Hospital Alton, IL fee schedule · both | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 4 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 5 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $11.3k | $11.3k | — | — | 1–10 | $11.3k – $11.3k |
| 6 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 7 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 8 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 9 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 10 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · bothfrom % of charges | 2 | $74 | $74 | $20 | 27% | 1–10 | $54 – $94 |
| 11 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $223 | $203 | $44 | 22% | 1–10 | $80 – $264 |
| 12 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 13 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 14 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 1 | $175 | $175 | $116 | 67% | 1–10 | $58 – $291 |
| 15 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $60 | $60 | $10 | 17% | — | $50 – $70 |
| 17 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $75 | $75 | — | — | — | $75 – $75 |
| 18 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 2 | $70 | $70 | — | — | — | $70 – $70 |
| 19 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 20 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $144 | $141 | $3 | 2% | — | $137 – $144 |
| 21 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 22 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 23 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
← Payers reporting HCPCS J1120 · Snapshot 20261112T124536Z-e251e855