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 Highmark 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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149 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55.73 | $38.19 – $89.43 |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57.52 | $39.42 – $92.31 |
| 3 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $82.94 | $82.94 – $82.94 |
| 4 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 2 | $162.00 | $162.00 – $162.00 |
| 5 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70.37 | $9.31 – $218.88 |
| 6 | Boone Memorial Hospital Madison, WV other · both | 1 | $7.90 | $7.84 – $7.95 |
| 7 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20.55 | $19.92 – $21.18 |
| 8 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $0.05 | $0.05 – $0.05 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.84 | $1.84 – $1.84 |
| 10 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $1.92 | $1.92 – $1.92 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $3.13 | $0.15 – $6.00 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $3.00 | $3.00 – $3.00 |
| 13 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $2.29 | $0.15 – $4.50 |
| 14 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $14,242 | $14,242 – $14,242 |
| 15 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $0.75 | $0.75 – $0.75 |
| 16 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 1 | $9.63 | $1.50 – $30.00 |
| 17 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 2 | $0.05 | $0.05 – $0.05 |
| 18 | Children's Hospital of Philadelphia, The Philadelphia, PA fee schedule · both | 1 | $3.82 | $0.03 – $30.00 |
| 19 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $114.87 | $28.86 – $730.96 |
| 20 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14,930 | $14,930 – $14,930 |
| 21 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $4.63 | $4.63 – $4.63 |
| 22 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.34 | $3.34 – $3.34 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $3.47 | $0.15 – $7.50 |
| 24 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.93 | $16.18 – $29.67 |
| 25 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $0.05 | $0.05 – $0.05 |
← Payers reporting HCPCS J3373 · Snapshot 20261109T115250Z-6452cf6e