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
DILTIAZEM HCL 125 MG/25ML IV SOLN
Low
$0
Average
$79
Median
$10
High
$711
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 1294.5× 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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73 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $24 | $24 | $14 | 57% | — | $6 – $39 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $50 | $45 | $19 | 43% | — | $13 – $65 |
| 4 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $14 | $17 | $5 | 30% | — | $14 – $26 |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $80 | $58 | $31 | 52% | — | $15 – $80 |
| 6 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | $1 | 20% | — | $5 – $8 |
| 7 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $711 | $711 | — | — | — | $711 – $711 |
| 8 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $711 | $711 | — | — | — | $711 – $711 |
| 9 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | $1 | 22% | — | $4 – $6 |
| 11 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $1 | 22% | — | $3 – $5 |
| 12 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $711 | $711 | — | — | — | $711 – $711 |
| 13 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | $5 | 62% | — | $3 – $13 |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | $5 | 65% | — | $3 – $14 |
| 15 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $15 | $35 | $29 | 82% | — | $15 – $75 |
| 16 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $27 | $31 | $7 | 23% | — | $22 – $39 |
| 17 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $27 | $31 | $7 | 23% | — | $22 – $39 |
| 18 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $33 | $32 | $8 | 24% | — | $22 – $39 |
| 19 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | $5 | 60% | — | $3 – $16 |
| 20 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 22 | McLeod Health Dillon, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | McLeod Health Cheraw, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | McLeod Health Manning, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | McLeod Health Florence, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J1163 · Snapshot 20261111T120946Z-9134e7f7