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
ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE
Low
$0
Average
$6.5k
Median
$5.7k
High
$22.0k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 18799.3× 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.
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21 hospital rates
iThe hospitals that file a Phcs 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 24% | — | $1 – $1 |
| 2 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 24% | — | $1 – $1 |
| 3 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 2 | $5.9k | $5.9k | $192 | 3% | — | $5.8k – $6.1k |
| 4 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 5 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 6 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 7 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 9 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $22.0k | $22.0k | — | — | — | $22.0k – $22.0k |
| 10 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 12 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 13 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 16 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 17 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 19 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 20 | The Mercy Hospital Inc Springfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 21 | The Methodist Hospitals, Inc. Gary, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
← Payers reporting HCPCS J1943 · Snapshot 20261111T120946Z-9134e7f7