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
$4
Average
$176
Median
$9
High
$3.7k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 7.0× 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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60 hospital rates
iThe hospitals that file a WellCare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $119 | $119 | $21 | 18% | — | $98 – $141 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | $2 | 29% | — | $5 – $11 |
| 3 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | $6 | 22% | — | $17 – $37 |
| 6 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | $6 | 22% | — | $17 – $36 |
| 7 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | $6 | 22% | — | $17 – $36 |
| 8 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Benefis Senior Services Great Falls, MT fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 4 | $6 | $8 | $3 | 33% | — | $6 – $13 |
| 12 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 1 | $24 | $24 | $2 | 9% | — | $21 – $26 |
| 15 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $2 | 38% | — | $4 – $8 |
| 17 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $1 | 13% | — | $4 – $5 |
| 18 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $1 | 13% | — | $4 – $5 |
| 19 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | $2 | 38% | — | $4 – $8 |
| 20 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $13 | $16 | 121% | — | $4 – $44 |
| 21 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $13 | $16 | 121% | — | $4 – $44 |
| 23 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 25 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting HCPCS J3372 · Snapshot 20261111T120946Z-9134e7f7