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
KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE
Low
$11
Average
$177
Median
$106
High
$801
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 19.8× 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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37 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $37 | $52 | $46 | 89% | 1–10 | $6 – $252 |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $178 | $326 | $396 | 122% | — | $29 – $1.1k |
| 3 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $52 | $153 | $226 | 148% | — | $32 – $704 |
| 5 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $153 | $226 | 148% | — | $32 – $704 |
| 6 | 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 | $25 | $25 | $5 | 18% | — | $21 – $30 |
| 7 | 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 | $21 | $21 | $4 | 18% | — | $17 – $25 |
| 8 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $146 | $221 | $202 | 91% | — | $15 – $975 |
| 11 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $92 | $69 | 75% | — | $19 – $238 |
| 12 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $69 | $126 | 183% | — | $0 – $910 |
| 13 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $192 | $321 | 167% | — | $0 – $2.2k |
| 14 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $161 | $285 | 177% | — | $0 – $2.0k |
| 15 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $88 | $155 | 175% | — | $0 – $1.1k |
| 16 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $127 | $225 | 177% | — | $0 – $1.6k |
| 17 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $76 | $133 | 174% | — | $0 – $954 |
| 18 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $154 | $253 | 164% | — | $0 – $1.7k |
| 19 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $136 | $500 | $667 | 133% | — | $95 – $2.9k |
| 20 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $136 | $500 | $667 | 133% | — | $95 – $2.9k |
| 21 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $136 | $500 | $667 | 133% | — | $95 – $2.9k |
| 22 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $136 | $500 | $667 | 133% | — | $95 – $2.9k |
| 23 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $136 | $500 | $667 | 133% | — | $95 – $2.9k |
| 24 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $26 | $17 | 65% | — | $2 – $55 |
| 25 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
← Payers reporting HCPCS J7999 · Snapshot 20261111T120946Z-9134e7f7