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
$132
Average
$358
Median
$316
High
$1.9k
Each hospital's average Bcbs Tx rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 2.5× 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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45 hospital rates
iThe hospitals that file a Bcbs Tx 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 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $774 | $770 | $372 | 48% | 18–72 | $391 – $1.6k |
| 2 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $774 | $770 | $372 | 48% | 18–72 | $391 – $1.6k |
| 3 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 5 | $435 | $398 | $141 | 36% | — | $122 – $514 |
| 4 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 5 | $361 | $366 | $24 | 6% | — | $329 – $401 |
| 5 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 5 | $366 | $373 | $47 | 13% | — | $295 – $432 |
| 6 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 5 | $366 | $373 | $47 | 13% | — | $295 – $432 |
| 7 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 5 | $366 | $373 | $47 | 13% | — | $295 – $432 |
| 8 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 5 | $366 | $373 | $47 | 13% | — | $295 – $432 |
| 9 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 10 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX percent of total billed charges · outpatientfrom % of charges | 2 | $144 | $144 | — | — | — | $144 – $144 |
| 11 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 5 | $435 | $398 | $141 | 36% | — | $122 – $514 |
| 12 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 5 | $435 | $398 | $141 | 36% | — | $122 – $514 |
| 13 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $735 | $748 | $378 | 51% | — | $371 – $1.6k |
| 14 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $1.9k | $1.9k | $605 | 31% | — | $1.2k – $2.7k |
| 15 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.9k | $1.9k | $605 | 31% | — | $1.2k – $2.7k |
| 16 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $735 | $748 | $378 | 51% | — | $371 – $1.6k |
| 17 | Mother Frances Hospital - Jacksonville Jacksonville, TX fee schedule · outpatient | 5 | $159 | $160 | $19 | 12% | — | $129 – $185 |
| 18 | Mother Frances Hospital - South Tyler Tyler, TX fee schedule · outpatient | 5 | $159 | $160 | $19 | 12% | — | $129 – $185 |
| 19 | Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX fee schedule · outpatient | 5 | $259 | $261 | $31 | 12% | — | $209 – $301 |
| 20 | Mother Frances Hospital - Tyler Tyler, TX fee schedule · outpatient | 5 | $159 | $160 | $19 | 12% | — | $129 – $185 |
| 21 | Mother Frances Hospital - Tyler Tyler, TX fee schedule · outpatient | 5 | $159 | $160 | $19 | 12% | — | $129 – $185 |
| 22 | Mother Frances Hospital - Winnsboro Winnsboro, TX fee schedule · outpatient | 5 | $159 | $160 | $19 | 12% | — | $129 – $185 |
| 23 | Ochiltree General Hospital Perryton, TX percent of total billed charges · outpatientfrom % of charges | 2 | $253 | $245 | $105 | 43% | — | $113 – $369 |
| 24 | Santa Rosa Emergency Center - Alon San Antonio, TX fee schedule · outpatient | 5 | $239 | $243 | $30 | 12% | — | $194 – $280 |
| 25 | Santa Rosa Emergency Center - Creekside New Braunfels, TX fee schedule · outpatient | 5 | $322 | $333 | $31 | 9% | — | $290 – $377 |
← Payers reporting HCPCS J2790 · Snapshot 20261111T120946Z-9134e7f7