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
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION
Low
$3
Average
$97
Median
$66
High
$295
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 51.9× 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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79 hospital rates
iThe hospitals that file a Tricare 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $26 | $2 | 9% | — | $23 – $29 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $2 | 9% | — | $22 – $28 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $2 | 9% | — | $22 – $28 |
| 5 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $32 | $3 | 9% | — | $28 – $36 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $92 | $92 | — | — | — | $92 – $92 |
| 7 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $198 | $198 | $5 | 2% | — | $193 – $202 |
| 11 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 12 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $19 | 31% | — | $42 – $81 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $88 | $32 | 36% | — | $38 – $118 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $83 | $30 | 36% | — | $36 – $110 |
| 15 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 16 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 17 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 19 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 20 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 21 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 23 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 24 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $36 | $53 | $20 | 39% | — | $35 – $80 |
| 25 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $263 | $292 | $86 | 29% | — | $216 – $425 |
← Payers reporting HCPCS J3486 · Snapshot 20261111T120946Z-9134e7f7