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
DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION
Low
$46
Average
$904
Median
$749
High
$2.8k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
88 hospitals; the 90th percentile is 6.1× 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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97 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | $490 | $490 | — | — | — | $490 – $490 |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $764 | $764 | — | — | — | $764 – $764 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 7 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 9 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 10 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 13 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 15 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $742 | $742 | — | — | — | $742 – $742 |
| 16 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 17 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 3 | $749 | $875 | $556 | 64% | — | $265 – $1.6k |
| 20 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 3 | $749 | $875 | $556 | 64% | — | $265 – $1.6k |
| 21 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $734 | $734 | — | — | — | $734 – $734 |
| 22 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $734 | $734 | — | — | — | $734 – $734 |
| 23 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $734 | $734 | — | — | — | $734 – $734 |
| 24 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $734 | $734 | — | — | — | $734 – $734 |
| 25 | Johnston Health Services Corporation Smithfield, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $430 | $430 | — | — | — | $430 – $430 |
← Payers reporting HCPCS J1212 · Snapshot 20261111T120946Z-9134e7f7