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
$243
Median
$168
High
$2.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
335 hospitals; the 90th percentile is 4.5× 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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634 hospital rates
iThe hospitals that file a Anthem 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 2 | $374 | $374 | $34 | 9% | 16–25 | $340 – $408 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $363 | $363 | $107 | 29% | 8–80 | $245 – $512 |
| 3 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $332 | $342 | $174 | 51% | 6–60 | $161 – $527 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 6 | $83 | $82 | $2 | 3% | 6–60 | $79 – $83 |
| 5 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 4 | $171 | $192 | $61 | 32% | 5–50 | $98 – $298 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $87 | $87 | — | — | 3–30 | $87 – $87 |
| 7 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · outpatient | 1 | $87 | $87 | — | — | 3–30 | $87 – $87 |
| 8 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 2 | $376 | $412 | $141 | 34% | 3–30 | $232 – $591 |
| 9 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $369 | $369 | — | — | 3–30 | $369 – $369 |
| 10 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $540 | $540 | $199 | 37% | 2–20 | $341 – $739 |
| 11 | DIGNITY COMMUNITY CARE Los Angeles, CA fee schedule · outpatient | 4 | $187 | $330 | $260 | 79% | 2–20 | $102 – $776 |
| 12 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · both | 2 | $67 | $72 | $6 | 8% | 2–20 | $67 – $79 |
| 13 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $236 | $110 | 47% | 2–20 | $155 – $394 |
| 14 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 15 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 16 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · outpatient | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 17 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · outpatient | 3 | $324 | $245 | $115 | 47% | 1–10 | $82 – $328 |
| 18 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 5 | $260 | $248 | $98 | 40% | 1–10 | $123 – $415 |
| 19 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 21 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | 1–10 | $203 – $203 |
| 22 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · inpatient | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 23 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · outpatient | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $369 | $369 | — | — | 1–10 | $369 – $369 |
| 25 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
← Payers reporting HCPCS J2790 · Snapshot 20261111T120946Z-9134e7f7