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
DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION
Low
$1
Average
$38
Median
$31
High
$135
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 10.0× 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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54 hospital rates
iThe hospitals that file a Medical Mutual 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 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 2 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 3 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 6 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 7 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 8 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 9 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 10 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $25 | $25 | $2 | 8% | — | $23 – $27 |
| 11 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $101 | $101 | — | — | — | $101 – $101 |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 13 | Mercy Medical Center-Clinton Inc Clinton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $6 | $6 | $1 | 14% | — | $5 – $7 |
| 15 | Selby General Hospital Marietta, OH facility · fee schedule · outpatient | 2 | $25 | $25 | $2 | 8% | — | $23 – $27 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 17 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 19 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 20 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 3 | $12 | $12 | $1 | 8% | — | $11 – $14 |
| 21 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $47 | $47 | $13 | 29% | — | $33 – $60 |
| 22 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $41 | $41 | $19 | 46% | — | $22 – $60 |
| 23 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 3 | $11 | $11 | $1 | 8% | — | $10 – $12 |
| 24 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $47 | $47 | $13 | 28% | — | $34 – $60 |
| 25 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | $20 | 50% | — | $20 – $60 |
← Payers reporting HCPCS J1245 · Snapshot 20261111T120946Z-9134e7f7