Vancomycin hydrochloride IV solution, 750 mg in 150 mL

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

VANCOMYCIN-(PEG) 1.25 GRAM/250 ML IV PGBK [179221]

Payers reporting HCPCS J3372

Payer pricing summary

Low

Average

$263

Median

$52

High

$6.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +15 other terms	190	$10	$30	$64	211%	—	$4 – $627
2	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	175	$15	$30	$41	135%	—	$0 – $681
3	UnitedHealthcare fee schedule · outpatient · +17 other terms	156	$14	$58	$78	134%	—	$0 – $652
4	Aetna fee schedule · outpatient · +18 other terms	143	$12	$31	$51	166%	—	$1 – $438
5	Humana fee schedule · outpatient · +18 other terms	121	$6	$27	$33	123%	—	$0 – $170
6	Anthem fee schedule · outpatient · +12 other terms	59	$11	$78	$113	145%	—	$7 – $908
7	MultiPlan fee schedule · outpatient · +12 other terms	58	$95	$105	$114	108%	—	$0 – $717
8	Caresource fee schedule · outpatient · +5 other terms	38	$9	$14	$16	116%	—	$7 – $68
9	Medica fee schedule · outpatient · +9 other terms	32	$58	$62	$56	90%	—	$0 – $198
10	Bcbs Tx fee schedule · outpatient	30	$31	$28	$9	33%	—	$12 – $49
11	Molina fee schedule · outpatient · +12 other terms	27	$16	$21	$8	37%	—	$7 – $38
12	Regence professional · fee schedule · outpatient · +8 other terms	20	$6	$6	$0	0%	—	$6 – $6
13	Healthpartners fee schedule · outpatient · +3 other terms	19	$8	$8	$0	2%	—	$7 – $8
14	Highmark facility · fee schedule · outpatient · +6 other terms	19	$10	$12	$6	53%	—	$3 – $29
15	Kaiser fee schedule · outpatient · +8 other terms	19	$30	$80	$86	107%	—	$7 – $636
16	Phcs fee schedule · inpatient · +7 other terms	15	$147	$120	$73	61%	—	$7 – $203
17	WellCare fee schedule · outpatient · +12 other terms	13	$7	$22	$9	42%	—	$7 – $34
18	Wellmark fee schedule · both · +4 other terms	13	$7	$7	—	—	—	$7 – $7
19	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$7	$7	$1	8%	—	$6 – $8
20	Aetna Better Health fee schedule · outpatient · +8 other terms	11	$7	$7	$0	6%	—	$7 – $8
21	First Health fee schedule · inpatient · +10 other terms	11	$126	$132	$103	78%	—	$5 – $627
22	Optum facility · case rate · outpatient · +8 other terms	11	$8	$9	$2	23%	—	$7 – $13
23	Sanford Health Plan fee schedule · inpatient · +4 other terms	11	$79	$80	$48	60%	—	$0 – $180
24	Ucare fee schedule · outpatient · +4 other terms	11	$6	$57	$42	74%	—	$6 – $166
25	Ambetter fee schedule · outpatient · +7 other terms	9	$13	$10	$6	55%	—	$1 – $18

Page 1 of 2 · 48 payers