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
$67
Average
$506
Median
$177
High
$6.2k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 6.6× 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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23 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $6.2k | $6.2k | — | — | 4–40 | $6.2k – $6.2k |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $369 | $369 | — | — | 1–10 | $369 – $369 |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $229 | $223 | $8 | 4% | — | $208 – $229 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $472 | $472 | — | — | — | $472 – $472 |
| 6 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $472 | $472 | — | — | — | $472 – $472 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $407 | $436 | $163 | 37% | — | $235 – $771 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 10 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 11 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 12 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 13 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 14 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $248 | $229 | $33 | 14% | — | $183 – $256 |
| 15 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 16 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 17 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 18 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 19 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 20 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 21 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 22 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
← Payers reporting HCPCS J2790 · Snapshot 20261111T120946Z-9134e7f7