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 Wellmark 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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173 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0.03 | $0.03 – $0.03 |
| 2 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $137.08 | $137.08 – $137.08 |
| 3 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $137.08 | $137.08 – $137.08 |
| 4 | Avera DeSmet De Smet, SD outpatient | 1 | $91.24 | $91.24 – $91.24 |
| 5 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $69.96 | $69.96 – $69.96 |
| 6 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $69.96 | $69.96 – $69.96 |
| 7 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $168.85 | $126.66 – $199.83 |
| 8 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $168.85 | $126.66 – $199.83 |
| 9 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $151.70 | $131.04 – $172.36 |
| 10 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $151.70 | $131.04 – $172.36 |
| 11 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $145.82 | $145.82 – $145.82 |
| 12 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $83.23 | $83.23 – $83.23 |
| 13 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $83.23 | $83.23 – $83.23 |
| 14 | Avera Hand County Hospital Miller, SD outpatient | 1 | $170.19 | $170.19 – $170.19 |
| 15 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $73.64 | $73.64 – $73.64 |
| 16 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $73.64 | $73.64 – $73.64 |
| 17 | Avera Heart Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0.03 | $0.03 – $0.03 |
| 18 | Avera Holy Family Hospital Estherville, IA fee schedule · outpatient | 2 | $0.03 | $0.03 – $0.03 |
| 19 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $126.97 | $88.66 – $184.63 |
| 20 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0.03 | $0.03 – $0.03 |
| 21 | Avera Merrill Pioneer Rock Rapids, IA fee schedule · outpatient | 2 | $0.03 | $0.03 – $0.03 |
| 22 | Avera Merrill Pioneer Rock Rapids, IA percent of total billed charges · inpatientfrom % of charges | 2 | $161.07 | $129.49 – $204.83 |
| 23 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $114.66 | $84.24 – $139.88 |
| 24 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $114.66 | $84.24 – $139.88 |
| 25 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $145.82 | $145.82 – $145.82 |
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