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
DIGOXIN IMMUNE FAB 40 MG IV SOLR [31432]
Low
$10
Average
$6.7k
Median
$5.1k
High
$38.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
154 hospitals; the 90th percentile is 1.9× 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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162 hospital rates
iThe hospitals that file a Tricare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 6 | $5.2k | $4.8k | $487 | 10% | — | $4.1k – $5.2k |
| 3 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 7 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 3 | $5.1k | $5.1k | $46 | 1% | — | $5.1k – $5.2k |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 10 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 12 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $38.9k | $38.9k | — | — | — | $38.9k – $38.9k |
| 14 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 15 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 16 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 17 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 18 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 20 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 22 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 23 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 24 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 25 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
← Payers reporting HCPCS J1162 · Snapshot 20261111T120946Z-9134e7f7