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
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION
Low
$40
Average
$295
Median
$129
High
$1.3k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 19.0× 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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26 hospital rates
iThe hospitals that file a Premera 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $798 | $778 | $29 | 4% | — | $726 – $798 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $289 | $289 | $7 | 2% | — | $282 – $296 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $769 | $769 | — | — | — | $769 – $769 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $753 | $753 | — | — | — | $753 – $753 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $753 | $753 | — | — | — | $753 – $753 |
| 19 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 20 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $1.4k | $1.3k | $224 | 17% | — | $1.1k – $1.7k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 23 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 24 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 25 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $58 | $58 | — | — | — | $58 – $58 |
← Payers reporting HCPCS J1205 · Snapshot 20261111T120946Z-9134e7f7