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
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION
Low
$12
Average
$1.1k
Median
$56
High
$9.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 183.9× 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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21 hospital rates
iThe hospitals that file a Tricare 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 4 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 7 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 8 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 9 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 10 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 11 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 12 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $9.1k | $9.1k | $4.6k | 50% | — | $4.6k – $13.7k |
| 15 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $905 | $905 | — | — | — | $905 – $905 |
| 19 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $3.2k | $1.0k | 33% | — | $2.5k – $4.7k |
| 21 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $9.1k | $9.1k | $4.6k | 50% | — | $4.6k – $13.7k |
← Payers reporting HCPCS J1807 · Snapshot 20261111T120946Z-9134e7f7