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 HCl (Premix)
Low
$0
Average
$45
Median
$4
High
$282
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 1201.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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19 hospital rates
iThe hospitals that file a Medicaid 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $3 | $4 | $5 | 107% | 1–10 | $1 – $16 |
| 2 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 3 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $282 | $282 | — | — | — | $282 – $282 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 28% | — | $0 – $0 |
| 7 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 8 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $8 | 40% | — | $8 – $33 |
| 10 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | $2 | 7% | — | $29 – $33 |
| 11 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $32 | $32 | $5 | 14% | — | $27 – $36 |
| 12 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $4 | 16% | — | $22 – $33 |
| 13 | Mercy Specialty Hospital Southeast Kansas Galena, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $19 | $6 | 33% | — | $11 – $32 |
| 14 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 15 | North Oaks Medical Center Drive. Hammond, LA fee schedule · both | 1 | $18 | $21 | $15 | 73% | — | $4 – $57 |
| 16 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Victoria of Texas LP Victoria, TX facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Victoria of Texas LP Victoria, TX facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J3375 · Snapshot 20261111T120946Z-9134e7f7