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
Penicillin g procaine inj
Low
$3
Average
$158
Median
$169
High
$344
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 8.8× 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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27 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $101 | $101 | $25 | 25% | — | $76 – $126 |
| 6 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 8 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 9 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $169 | $169 | $0 | 0% | — | $169 – $169 |
| 11 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $169 | $169 | $0 | 0% | — | $169 – $169 |
| 12 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 13 | Key West HMA LLC FL 33040; 1200 Kennedy Dr. Key West, FL facility · fee schedule · outpatient | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 14 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 15 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $166 | $196 | $60 | 31% | — | $142 – $279 |
| 17 | Natchez Hospital Company LLC Natchez, MS facility · fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 18 | Navarro Hospital LP Corsicana, TX facility · fee schedule · outpatient | 2 | $273 | $273 | $22 | 8% | — | $251 – $295 |
| 19 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $131 | $131 | $26 | 20% | — | $106 – $157 |
| 20 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $344 | $344 | $88 | 25% | — | $257 – $432 |
| 21 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $344 | $344 | $88 | 25% | — | $257 – $432 |
| 22 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $344 | $344 | $88 | 25% | — | $257 – $432 |
| 23 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $344 | $344 | $88 | 25% | — | $257 – $432 |
| 24 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $344 | $344 | $88 | 25% | — | $257 – $432 |
| 25 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS J2510 · Snapshot 20261111T120946Z-9134e7f7