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
PENTAMIDINE 300 MG SOLUTION FOR INJECTION
Low
$0
Average
$230
Median
$166
High
$804
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 1302.2× 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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24 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $351 | $351 | $339 | 96% | — | $13 – $690 |
| 2 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $321 | 96% | — | $12 – $655 |
| 3 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $550 | $550 | $530 | 96% | — | $20 – $1.1k |
| 4 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $342 | $342 | $330 | 96% | — | $12 – $672 |
| 5 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $166 | $35 | 21% | — | $119 – $202 |
| 6 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $166 | $35 | 21% | — | $119 – $202 |
| 7 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $166 | $35 | 21% | — | $119 – $202 |
| 8 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $166 | $35 | 21% | — | $119 – $202 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $668 | $668 | — | — | — | $668 – $668 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $804 | $804 | — | — | — | $804 – $804 |
| 11 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 18 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 19 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 20 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 22 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | TRANSYLVANIA REGIONAL HOSPITAL Brevard, NC percent of total billed charges · outpatientfrom % of charges | 1 | $369 | $369 | $356 | 96% | — | $13 – $725 |
| 24 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
← Payers reporting HCPCS J2516 · Snapshot 20261111T120946Z-9134e7f7