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
CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION (FOR SUBQ ONLY)
Low
$1
Average
$71
Median
$43
High
$385
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 141.6× 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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77 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 | $71 | $71 | $52 | 73% | — | $19 – $124 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $77 | $78 | $29 | 37% | — | $52 – $143 |
| 3 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $11 | $6 | 54% | — | $1 – $18 |
| 4 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $11 | $6 | 54% | — | $1 – $18 |
| 5 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $11 | $6 | 54% | — | $1 – $18 |
| 6 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $14 | $7 | 54% | — | $1 – $23 |
| 7 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $29 | $28 | $12 | 45% | — | $10 – $44 |
| 10 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | $6 | 11% | — | $48 – $60 |
| 12 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $118 | $118 | $24 | 20% | — | $90 – $146 |
| 13 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | $53 | 88% | — | $7 – $114 |
| 18 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | $53 | 88% | — | $7 – $114 |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 20 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | $33 | 51% | — | $32 – $99 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | $34 | 51% | — | $32 – $100 |
| 22 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $85 | $85 | $65 | 77% | — | $20 – $150 |
| 23 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J9100 · Snapshot 20261111T120946Z-9134e7f7