Vancomycin hydrochloride injection, 10 mg

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 (Premix)

Payers reporting HCPCS J3375

Payer pricing summary

Low

Average

$85

Median

$54

High

$689

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +11 other terms	16	$0	$3	$6	177%	400	$0 – $15
2	Wellmark fee schedule · outpatient · +9 other terms	15	$0	$0	—	—	263–623	$0 – $0
3	Premera percent of total billed charges · bothfrom % of charges	1	$59	$59	$10	17%	250	$44 – $72
4	Florida Blue percent of total billed charges · bothfrom % of charges	1	$24	$24	$11	47%	135	$10 – $41
5	Aetna fee schedule · outpatient · +18 other terms	58	$0	$41	$54	131%	33–42	$0 – $273
6	UnitedHealthcare fee schedule · outpatient · +19 other terms	233	$0	$121	$362	300%	13–130	$0 – $2.2k
7	Anthem fee schedule · outpatient · +14 other terms	39	$0	$237	$497	210%	8–80	$0 – $2.3k
8	Kaiser fee schedule · both · +12 other terms	42	$0	$0	$0	24%	6–60	$0 – $0
9	Humana fee schedule · outpatient · +16 other terms	17	$57	$56	$50	90%	1–10	$0 – $279
10	Cigna fee schedule · outpatient · +14 other terms	148	$0	$55	$167	302%	—	$0 – $1.1k
11	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	118	$0	$34	$181	535%	—	$0 – $1.5k
12	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$15	$13	$2	16%	—	$10 – $16
13	Medcost percent of total billed charges · outpatientfrom % of charges · +4 other terms	18	$75	$77	$32	41%	—	$20 – $221
14	Oscar facility · fee schedule · outpatient · +7 other terms	18	$0	$0	$0	7%	—	$0 – $0
15	Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms	17	$115	$140	$63	45%	—	$46 – $317
16	MultiPlan fee schedule · outpatient · +10 other terms	16	$150	$444	$531	120%	—	$18 – $1.8k
17	Molina facility · case rate · outpatient · +11 other terms	15	$9	$10	$2	23%	—	$6 – $15
18	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$39	$38	$10	26%	—	$15 – $55
19	WellCare professional · fee schedule · outpatient · +12 other terms	13	$0	$0	$0	7%	—	$0 – $0
20	Optum facility · case rate · outpatient · +8 other terms	11	$8	$9	$2	22%	—	$7 – $13
21	First Health fee schedule · inpatient · +10 other terms	10	$77	$365	$450	123%	—	$68 – $1.6k
22	Medical Mutual facility · fee schedule · outpatient · +4 other terms	10	$0	$0	$0	27%	—	$0 – $1
23	Bcbs Mn facility · percent of total billed charges · outpatientfrom % of charges	9	$40	$39	$13	32%	—	$14 – $80
24	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +2 other terms	9	$55	$51	$22	43%	—	$15 – $94
25	Highmark facility · fee schedule · outpatient · +9 other terms	9	$0	$0	$0	19%	—	$0 – $0

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