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
GLATIRAMER ACET 20MG/ML PSYR
Low
$2
Average
$1.2k
Median
$196
High
$11.3k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 98 hospitals; the 90th percentile is 47.3× 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 | St. Mary's Health, Inc. Evansville, IN | $134 | $134 | $4 | 3% | — | $129 – $138 |
| 2 | Kaiser Foundation Hospital & Rehab Center - Vallejo VALLEJO, CA | $160 | $196 | $51 | 26% | — | $160 – $269 |
| 3 | Northside Hospital, Inc. Lawrenceville, GA | $579 | $746 | $570 | 76% | — | $152 – $2.4k |
| 4 | Metro Knoxville HMA LLC Powell, TN | $290 | $290 | — | — | — | $290 – $290 |
| 5 | Northside Hospital, Inc. Atlanta, GA | $626 | $774 | $572 | 74% | — | $163 – $2.4k |
| 6 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $167 | $169 | $9 | 5% | — | $167 – $212 |
| 7 | Kaiser Foundation Hospital - Manteca Manteca, CA | $160 | $196 | $51 | 26% | — | $160 – $269 |
| 8 | Fairview Hospital Cleveland, OH | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Endo Surgery Center Carmel, IN | $134 | $134 | $4 | 3% | — | $129 – $138 |
| 10 | Naab Road Surgery Center Indianapolis, IN | $134 | $134 | $4 | 3% | — | $129 – $138 |
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