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
TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS
Low
$3
Average
$93
Median
$51
High
$326
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 51.3× 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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21 hospital rates
iThe hospitals that file a Excellus 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $407 | $557 | $322 | 58% | 250 | $259 – $1.0k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $3 | $5 | $2 | 45% | — | $3 – $8 |
| 5 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $69 | $98 | $53 | 55% | — | $52 – $173 |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $5 | $5 | $2 | 37% | — | $3 – $7 |
| 9 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $7 | $7 | $3 | 48% | — | $3 – $10 |
| 10 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 11 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 12 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 13 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 15 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 3 | $53 | $59 | $8 | 14% | — | $53 – $71 |
| 16 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 17 | St Peters Hospital Albany, NY facility · fee schedule · both | 4 | $52 | $47 | $7 | 16% | — | $35 – $52 |
| 18 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $241 | $214 | $47 | 22% | — | $133 – $241 |
| 19 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 20 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $3 | $6 | $3 | 55% | — | $3 – $10 |
| 21 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $10 | $10 | $7 | 66% | — | $3 – $17 |
← Payers reporting HCPCS J3246 · Snapshot 20261111T120946Z-9134e7f7