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
VANCOMYCIN-(PEG) 1.25 GRAM/250 ML IV PGBK [179221]
Low
$1
Average
$30
Median
$13
High
$150
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 11.9× 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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24 hospital rates
iThe hospitals that file a Ambetter 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 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $150 | $150 | — | — | 3–30 | $150 – $150 |
| 2 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 3–30 | $40 – $40 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $12 | 26% | — | $27 – $61 |
| 17 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $56 | $21 | 37% | — | $37 – $86 |
| 18 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Rush Medical Foundation Meridian, MS other · outpatient | 1 | $67 | $69 | $14 | 21% | — | $51 – $90 |
| 20 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $39 | $10 | 26% | — | $23 – $53 |
| 24 | Wellstar Windy Hill Hospital Marietta, GA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting HCPCS J3372 · Snapshot 20261111T120946Z-9134e7f7