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
RH IG IM 300 MICRO GRAMS
Low
$0
Average
$343
Median
$201
High
$27.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1223 hospitals; the 90th percentile is 6.2× 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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1,909 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $269 | $257 | $125 | 48% | 40 | $70 – $462 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 29 | $287 – $287 |
| 3 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $350 | $306 | $102 | 33% | 17–44 | $154 – $403 |
| 4 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 3 | $166 | $159 | $13 | 8% | 15–150 | $132 – $166 |
| 5 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 3 | $167 | $158 | $15 | 10% | 12–120 | $132 – $167 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $181 | $233 | $124 | 53% | 12–120 | $117 – $516 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $444 | $461 | $379 | 82% | 8–80 | $80 – $918 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $231 | $237 | $154 | 65% | 8–80 | $80 – $427 |
| 9 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.1k | $413 | 37% | 8–80 | $449 – $1.5k |
| 10 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $193 | $248 | $131 | 53% | 8–80 | $132 – $529 |
| 11 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $134 | $134 | — | — | 7–70 | $134 – $134 |
| 12 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $491 | $436 | $79 | 18% | 6–60 | $324 – $491 |
| 13 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $223 | $223 | — | — | 5–50 | $223 – $223 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $316 | $284 | $143 | 50% | 4–40 | $90 – $475 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $115 | $7 | 6% | 4–40 | $110 – $126 |
| 16 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $86 | $86 | — | — | 4–40 | $86 – $86 |
| 17 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $177 | $177 | — | — | 4–40 | $177 – $177 |
| 18 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | 4–40 | $174 – $174 |
| 19 | Raleigh General Hospital Beckley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $153 | $15 | 10% | 4–40 | $130 – $167 |
| 20 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · outpatientfrom % of charges | 2 | $145 | $158 | $67 | 43% | 4–40 | $79 – $265 |
| 21 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $350 | $285 | $93 | 33% | 3–30 | $154 – $350 |
| 22 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $140 | $8 | 5% | 3–30 | $130 – $149 |
| 23 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 3 | $201 | $201 | — | — | 3–30 | $201 – $201 |
| 24 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $88 | $88 | — | — | 3–30 | $88 – $88 |
| 25 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $586 | $586 | — | — | 3–30 | $586 – $586 |
← Payers reporting HCPCS J2790 · Snapshot 20261111T120946Z-9134e7f7