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
DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE
Low
$4
Average
$201
Median
$94
High
$855
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 21.2× 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.
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17 hospital rates
iThe hospitals that file a Medicaid 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 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $151 | $151 | $36 | 24% | — | $115 – $187 |
| 5 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $41 | $41 | $27 | 66% | — | $14 – $68 |
| 6 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $17 | 14% | — | $101 – $135 |
| 7 | NYU Langone Mineola, NY case rate · outpatient | 15 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | NYU Langone Brooklyn, NY case rate · outpatient | 15 | $93 | $93 | — | — | — | $93 – $93 |
| 9 | NYU Langone New York, NY case rate · outpatient | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 10 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · outpatient | 15 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · inpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 12 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · inpatientfrom % of charges | 1 | $621 | $621 | $476 | 77% | — | $145 – $1.1k |
| 13 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $999 | 92% | — | $91 – $2.1k |
| 14 | Sharp Mesa Vista Hospital San Diego, CA case rate · inpatient | 1 | $725 | $725 | — | — | — | $725 – $725 |
| 15 | Sharp Mesa Vista Hospital San Diego, CA percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 16 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 3 | $488 | $573 | $302 | 53% | — | $234 – $1.1k |
← Payers reporting HCPCS J1645 · Snapshot 20261111T120946Z-9134e7f7