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 1 MG/0.1 ML OPHTH SOLN MFG INJ
The hospitals that file a Blue Cross Blue Shield 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.
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1,196 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $0.03 | $0.03 – $0.03 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $61.47 | $30.40 – $108.21 |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $40.77 | $10.46 – $122.52 |
| 4 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $30.09 | $9.79 – $76.33 |
| 5 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $73.81 | $52.31 – $125.73 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $58.29 | $22.33 – $127.13 |
| 7 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $33.47 | $11.34 – $76.31 |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA case rate · outpatient | 2 | $58.39 | $32.93 – $107.80 |
| 9 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $45.77 | $22.87 – $93.16 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 9 | $17.52 | $0.48 – $93.63 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 9 | $39.93 | $0.50 – $112.17 |
| 12 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $23.10 | $2.38 – $45.72 |
| 13 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $7.61 | $7.60 – $7.62 |
| 14 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $48.93 | $48.93 – $48.93 |
| 15 | Allina Health Systems Shakopee, MN facility · other · outpatient | 2 | $16.72 | $11.78 – $22.77 |
| 16 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22.14 | $16.04 – $29.12 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $53.62 | $18.77 – $300.05 |
| 18 | Allina Health Systems Owatonna, MN facility · other · outpatient | 2 | $16.72 | $11.78 – $22.77 |
| 19 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22.14 | $16.04 – $29.12 |
| 20 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $43.65 | $20.66 – $140.65 |
| 21 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36.44 | $17.25 – $117.41 |
| 22 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54.43 | $19.35 – $300.05 |
| 23 | Allina Health Systems Cambridge, MN facility · other · outpatient | 2 | $16.72 | $11.78 – $22.77 |
| 24 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22.14 | $16.04 – $29.12 |
| 25 | Allina Health Systems Faribualt, MN facility · other · outpatient | 2 | $16.72 | $11.78 – $22.77 |
← Payers reporting HCPCS J3373 · Snapshot 20261109T115250Z-6452cf6e