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
$298
Median
$158
High
$2.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 3.7× 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.
Filter by billing methodology
Filter by billing class
137 hospital rates
iThe hospitals that file a Ambetter 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 Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | 11 | $81 – $81 |
| 2 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $117 | $22 | 19% | 3–30 | $82 – $151 |
| 3 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | $11 | 6% | 2–20 | $178 – $199 |
| 4 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | $25 | 16% | 2–20 | $133 – $184 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $373 | $373 | — | — | 1–10 | $373 – $373 |
| 6 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 9 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 10 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $121 | $21 | 17% | — | $89 – $151 |
| 11 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 12 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $131 | $126 | $21 | 17% | — | $94 – $154 |
| 13 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $128 | $124 | $21 | 17% | — | $92 – $154 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 15 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $125 | $123 | $22 | 18% | — | $90 – $154 |
| 16 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $120 | $120 | $22 | 19% | — | $86 – $154 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $2.0k | $2.0k | $120 | 6% | — | $1.9k – $2.2k |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $1.5k | $1.6k | $93 | 6% | — | $1.5k – $1.7k |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 2 | $2.0k | $2.0k | $120 | 6% | — | $1.9k – $2.2k |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 2 | $2.1k | $2.1k | $127 | 6% | — | $2.0k – $2.3k |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 2 | $2.0k | $2.0k | $120 | 6% | — | $1.9k – $2.2k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 2 | $2.0k | $2.0k | $120 | 6% | — | $1.9k – $2.2k |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 2 | $2.0k | $2.0k | $120 | 6% | — | $1.9k – $2.2k |
| 24 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 2 | $2.0k | $2.0k | $120 | 6% | — | $1.9k – $2.2k |
| 25 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
← Payers reporting HCPCS J2790 · Snapshot 20261111T120946Z-9134e7f7