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
FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION
Low
$52
Average
$1.9k
Median
$1.7k
High
$5.0k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 22 hospitals; the 90th percentile is 78.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hoopeston Community Memorial Hospital Hoopeston, IL | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $55 | $55 | — | — | — | $55 – $55 |
| 3 | Hca Healthone Northeast Er THORNTON, CO | $350 | $350 | — | — | — | $350 – $350 |
| 4 | The Queens Medical Center Ewa Beach, HI | $4.8k | $4.8k | $356 | 7% | — | $4.5k – $5.3k |
| 5 | Manatee Memorial Hospital Bradenton, FL | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 6 | Queens North Hawaii Community Hospital Waimea, HI | $3.7k | $3.4k | $462 | 14% | — | $2.7k – $3.7k |
| 7 | Memorial Hospital Pembroke Pembroke Pines, FL | $1.7k | $1.7k | $1.0k | 58% | — | $718 – $2.7k |
| 8 | Glenwood Regional Medical Center - HSA West Monroe, LA | $1.4k | $1.7k | $1.3k | 77% | — | $91 – $3.6k |
| 9 | Memorial Hospital Miramar Miramar, FL | $1.7k | $1.7k | $1.0k | 58% | — | $718 – $2.7k |
| 10 | Grundy County Memorial Hospital Grundy Center, IA | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Ask Claude or any MCP client for HCPCS J1572 pricing at a specific hospital — see how to connect.