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
GLYCOPYRROLATE 2ML (ROBINUL)SDV:0.2MGML
Low
$1
Average
$14
Median
$8
High
$55
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 28.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +9 other terms | 98 | $1 | $2 | $1 | 70% | — | $1 – $10 |
| 2 | Humana fee schedule · outpatient · +8 other terms | 69 | $3 | $5 | $3 | 61% | — | $1 – $9 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 33 | $5 | $4 | $4 | 99% | — | $1 – $16 |
| 4 | UnitedHealthcare fee schedule · both · +11 other terms | 27 | $1 | $1 | $0 | 29% | — | $1 – $3 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $47 | $52 | $12 | 23% | — | $32 – $80 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 7 | Molina facility · case rate · outpatient · +2 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 8 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $45 | $34 | $19 | 55% | — | $14 – $56 |
| 9 | Cigna facility · fee schedule · outpatient · +5 other terms | 11 | $1 | $1 | $1 | 49% | — | $1 – $3 |
| 10 | Optum facility · case rate · outpatient · +2 other terms | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 11 | Medica fee schedule · outpatient · +4 other terms | 10 | $2 | $2 | $1 | 25% | — | $1 – $3 |
| 12 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | First Health facility · fee schedule · outpatient · +3 other terms | 4 | $3 | $3 | — | — | — | $3 – $3 |
| 15 | Amerihealth Caritas professional · fee schedule · outpatient | 3 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 16 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 3 | $5 | $14 | $18 | 134% | — | $3 – $51 |
| 18 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $9 | $9 | $4 | 43% | — | $5 – $13 |
| 19 | Tricare facility · fee schedule · outpatient · +1 other terms | 2 | $11 | $11 | $5 | 43% | — | $6 – $15 |
| 20 | Bcbs Id facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 23 | Highmark fee schedule · outpatient · +2 other terms | 1 | $62 | $62 | $26 | 42% | — | $43 – $98 |
| 24 | WellCare percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Hospitals reporting HCPCS J7642 · Snapshot 20261111T120946Z-9134e7f7