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
$7
Average
$1.1k
Median
$132
High
$24.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1064 hospitals; the 90th percentile is 63.4× 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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1,608 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 2 | $2.8k | $2.5k | $1.4k | 58% | 21,500 | $496 – $4.1k |
| 2 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 8 | $3.4k | $3.1k | $749 | 25% | 12,300 | $1.7k – $3.7k |
| 3 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $4.9k | $5.0k | $220 | 4% | 5,700 | $4.7k – $5.3k |
| 4 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $45 | $45 | — | — | 3,600 | $45 – $45 |
| 5 | Mayo Clinic Health System Fairmont 56031-4575 facility · fee schedule · both | 1 | $45 | $45 | — | — | 3,000 | $45 – $45 |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $36 | $36 | $10 | 28% | 2,500 | $26 – $46 |
| 7 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $1.9k | $2.5k | $1.8k | 70% | 2,476 | $202 – $6.0k |
| 8 | St Mary Mercy Livonia Livonia, MI facility · other · both | 2 | $36 | $36 | $10 | 28% | 1,150 | $26 – $46 |
| 9 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 6 | $1.8k | $2.5k | $1.6k | 62% | 800 | $408 – $5.3k |
| 10 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 7 | $1.9k | $2.6k | $1.6k | 60% | 750 | $515 – $5.3k |
| 11 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $1.3k | $1.3k | $56 | 4% | 600 | $1.2k – $1.3k |
| 12 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $45 | $45 | — | — | 480 | $45 – $45 |
| 13 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $48 | $48 | — | — | 400 | $48 – $48 |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 1 | $52 | $52 | — | — | 300 | $52 – $52 |
| 15 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $3.4k | $3.5k | $2.1k | 61% | 250 | $1.0k – $8.1k |
| 16 | St Joseph Mercy Chelsea Chelsea, MI facility · other · both | 2 | $36 | $36 | $10 | 28% | 200 | $26 – $46 |
| 17 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $1.0k | $1.1k | $86 | 8% | 190 | $1.0k – $1.2k |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $38 | $38 | $3 | 9% | 160 | $35 – $41 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $38 | $38 | $3 | 9% | 160 | $35 – $41 |
| 20 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $6.5k | $6.5k | $3.8k | 59% | 138 | $2.7k – $10.2k |
| 21 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 2 | $28 | $31 | $8 | 27% | 45–63 | $26 – $47 |
| 22 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $147 | $145 | $7 | 5% | 44 | $118 – $147 |
| 23 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 21 | $2.4k | $2.4k | — | — | 28 | $2.4k – $2.4k |
| 24 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.5k | $15.7k | $9.3k | 59% | 18–54 | $4.8k – $28.9k |
| 25 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $43 | $43 | $6 | 14% | 11 | $37 – $49 |
← Payers reporting HCPCS J1569 · Snapshot 20261111T120946Z-9134e7f7