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
$38
Average
$325
Median
$283
High
$836
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 6.5× 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 Wellmark 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 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 2 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 3 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $836 | $836 | — | — | — | $836 – $836 |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 7 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 8 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 9 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 10 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 11 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 12 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $384 | $384 | — | — | — | $384 – $384 |
| 13 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $670 | $670 | — | — | — | $670 – $670 |
| 14 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 15 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 16 | Saint Francis Hospital and Medical Center Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 17 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $105 | $105 | — | — | — | $105 – $105 |
| 18 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 19 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 20 | St Peters Hospital Albany, NY facility · fee schedule · both | 2 | $105 | $105 | — | — | — | $105 – $105 |
| 21 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 22 | St. Francis Hospital Inc Wilmington, DE facility · percent of total billed charges · bothfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 23 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 24 | The Mercy Hospital Inc Springfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
← Payers reporting HCPCS J2516 · Snapshot 20261111T120946Z-9134e7f7