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
$1
Average
$211
Median
$161
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
898 hospitals; the 90th percentile is 4.6× 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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1,198 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Holy Redeemer Health System Meadowbrook, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $41 | $41 | — | — | 107 | $41 – $41 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $315 | $316 | $56 | 18% | 77 | $260 – $374 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $190 | $191 | $20 | 10% | 60 | $164 – $219 |
| 4 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $134 | $134 | — | — | 21–210 | $134 – $134 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $156 | $156 | $8 | 5% | 18–54 | $148 – $163 |
| 6 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $118 | $110 | $18 | 17% | 16–34 | $79 – $133 |
| 7 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $118 | $110 | $18 | 17% | 16–34 | $79 – $133 |
| 8 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $118 | $110 | $18 | 17% | 16–34 | $79 – $133 |
| 9 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $118 | $110 | $18 | 17% | 15–33 | $79 – $133 |
| 10 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $118 | $110 | $18 | 17% | 15–33 | $79 – $133 |
| 11 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 3 | $223 | $223 | — | — | 15–150 | $223 – $223 |
| 12 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · both | 3 | $67 | $71 | $6 | 8% | 15–42 | $67 – $79 |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $36 | $308 | $333 | 108% | 13 | $35 – $737 |
| 14 | Fauquier Health Warrenton, VA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $372 | $372 | $128 | 34% | 12–120 | $244 – $500 |
| 15 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $277 | $278 | $29 | 10% | 8–80 | $224 – $319 |
| 16 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $134 | $134 | — | — | 7–70 | $134 – $134 |
| 17 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $372 | $372 | $128 | 34% | 6–60 | $244 – $500 |
| 18 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 3 | $252 | $347 | $305 | 88% | 6–60 | $41 – $787 |
| 19 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $306 | $290 | $57 | 20% | 6–60 | $191 – $363 |
| 20 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $220 | $220 | $9 | 4% | 5–50 | $210 – $229 |
| 21 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $223 | $223 | — | — | 5–50 | $223 – $223 |
| 22 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 7 | $99 | $99 | — | — | 5–50 | $99 – $99 |
| 23 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 2 | $99 | $97 | $6 | 6% | 5–50 | $85 – $99 |
| 24 | NYU Langone Brooklyn, NY percent of total billed charges · outpatientfrom % of charges | 50 | $403 | $397 | $20 | 5% | 4–40 | $323 – $403 |
| 25 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $214 | $214 | $1 | 0% | 4–40 | $213 – $215 |
← Payers reporting HCPCS J2790 · Snapshot 20261111T120946Z-9134e7f7