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
$118
Median
$53
High
$420
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 2466.1× 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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66 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 122 | $0 – $0 |
| 2 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $21 | $21 | — | — | 30 | $21 – $21 |
| 3 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 30 | $0 – $0 |
| 4 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 30 | $0 – $0 |
| 5 | Sioux Center Health Sioux Center, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 28 | $0 – $0 |
| 6 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $23 | $23 | — | — | 17 | $23 – $23 |
| 7 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | 17 | $291 – $291 |
| 8 | Avera Heart Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 14–140 | $0 – $0 |
| 9 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $23 | $23 | — | — | 13 | $23 – $23 |
| 10 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 13 | $0 – $0 |
| 11 | Regional Health Services of Howard County Cresco, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 12–120 | $0 – $0 |
| 12 | Avera Holy Family Hospital Estherville, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 6–60 | $0 – $0 |
| 13 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $391 | $391 | — | — | 6–60 | $391 – $391 |
| 14 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $344 | $342 | $17 | 5% | 6–60 | $314 – $364 |
| 15 | Avera Merrill Pioneer Rock Rapids, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 4–40 | $0 – $0 |
| 16 | Osceola Regional Health Center Sibley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 4–40 | $0 – $0 |
| 17 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 18 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $331 | $333 | $17 | 5% | — | $311 – $360 |
| 20 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $333 | $17 | 5% | — | $311 – $360 |
| 21 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $302 | $302 | $4 | 1% | — | $298 – $306 |
| 22 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | $4 | 1% | — | $298 – $306 |
| 23 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $298 | $298 | $34 | 12% | — | $264 – $333 |
| 24 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $298 | $298 | $34 | 12% | — | $264 – $333 |
| 25 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $291 | $291 | — | — | — | $291 – $291 |
← Payers reporting HCPCS J3375 · Snapshot 20261111T120946Z-9134e7f7