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
FOSAPREPITANT DIMEGLUMINE 1 MG/ML EXTEMP INJ
Low
$3
Average
$304
Median
$157
High
$2.6k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 43.0× 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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52 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $2.6k | $2.6k | — | — | 94 | $2.6k – $2.6k |
| 2 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $174 | $170 | $6 | 4% | 2–20 | $159 – $174 |
| 3 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $997 | $997 | — | — | — | $997 – $997 |
| 4 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | $1.1k | 58% | — | $771 – $2.9k |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | $88 | 28% | — | $220 – $395 |
| 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 | $222 | $222 | — | — | — | $222 – $222 |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 14 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 16 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 18 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 24 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting HCPCS J1453 · Snapshot 20261111T120946Z-9134e7f7