Vancomycin 750 mg injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

VANCOMYCIN HCL 1.25 G IV SOLR

Payers reporting HCPCS J3374

Payer pricing summary

Low

Average

$172

Median

$66

High

$2.5k

Payer rate distribution

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#
1	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$52	$52	$45	87%	24–240	$10 – $197
2	Aetna fee schedule · outpatient · +21 other terms	75	$0	$103	$274	265%	15	$0 – $2.1k
3	Wellmark fee schedule · outpatient · +10 other terms	11	$0	$0	—	—	12–120	$0 – $0
4	Anthem fee schedule · outpatient · +18 other terms	52	$0	$15	$53	345%	2–20	$0 – $411
5	UnitedHealthcare fee schedule · outpatient · +22 other terms	253	$0	$44	$493	1119%	1–10	$0 – $12.9k
6	Cigna fee schedule · outpatient · +17 other terms	149	$0	$11	$35	332%	—	$0 – $365
7	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	128	$0	$6	$29	521%	—	$0 – $356
8	Kaiser fee schedule · both · +12 other terms	41	$0	$0	$0	27%	—	$0 – $0
9	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	40	$146	$156	$61	39%	—	$73 – $602
10	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$81	$72	$16	23%	—	$46 – $105
11	Caresource fee schedule · outpatient · +13 other terms	18	$0	$1	$3	254%	—	$0 – $11
12	Oscar facility · fee schedule · outpatient · +8 other terms	18	$0	$0	$0	15%	—	$0 – $0
13	Medicaid fee schedule · outpatient · +6 other terms	17	$210	$285	$207	72%	—	$1 – $908
14	Beechstreet percent of total billed charges · inpatientfrom % of charges · +4 other terms	16	$153	$159	$134	84%	—	$47 – $602
15	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +2 other terms	16	$52	$65	$42	65%	—	$12 – $198
16	MultiPlan fee schedule · inpatient · +12 other terms	16	$90	$245	$221	90%	—	$27 – $693
17	First Health fee schedule · outpatient · +11 other terms	15	$60	$112	$101	91%	—	$8 – $397
18	Molina facility · case rate · outpatient · +12 other terms	15	$9	$10	$2	22%	—	$6 – $15
19	Ambetter other · outpatient · +9 other terms	14	$3	$1.2k	$5.0k	417%	—	$2 – $22.3k
20	Humana fee schedule · outpatient · +15 other terms	14	$49	$165	$197	120%	—	$0 – $693
21	Bcbs Mn percent of total billed charges · outpatientfrom % of charges · +3 other terms	13	$45	$55	$39	72%	—	$9 – $185
22	WellCare professional · fee schedule · outpatient · +13 other terms	12	$0	$0	—	—	—	$0 – $0
23	Optum facility · case rate · outpatient · +10 other terms	11	$8	$9	$2	23%	—	$7 – $13
24	Medical Mutual facility · fee schedule · outpatient · +5 other terms	10	$0	$0	$0	27%	—	$0 – $1
25	Phcs fee schedule · inpatient · +10 other terms	9	$64	$299	$283	95%	—	$31 – $792

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