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.
Generation details were not recorded for this description.
Original text from hospital filings
GAMMAGARD LIQUID 10% ORAL SOLUTION
Low
$43
Average
$1.1k
Median
$87
High
$17.3k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
335 hospitals; the 90th percentile is 57.2× 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.
Filter by billing methodology
Filter by billing class
385 hospital rates
iThe hospitals that file a Ambetter 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.0k | $1.1k | 53% | 13,530 | $500 – $2.8k |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.0k | $1.1k | 53% | 250 | $500 – $2.8k |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $3.3k | $2.3k | 69% | 4–40 | $530 – $6.9k |
| 4 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 5 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 6 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 7 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 8 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 14 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 15 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 16 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 17 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 18 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 19 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $993 | $1.6k | $1.4k | 89% | — | $169 – $4.3k |
| 21 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.0k | $1.6k | $1.4k | 88% | — | $178 – $4.4k |
| 22 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.6k | $1.4k | 89% | — | $173 – $4.4k |
| 23 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.0k | $1.6k | $1.4k | 89% | — | $169 – $4.4k |
| 24 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $975 | $1.6k | $1.4k | 89% | — | $162 – $4.4k |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $4.5k | $14.8k | $19.4k | 131% | — | $1.5k – $59.9k |
← Payers reporting HCPCS J1569 · Snapshot 20261111T120946Z-9134e7f7