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
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)
Low
$0
Average
$167
Median
$7
High
$13.5k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1707 hospitals; the 90th percentile is 114.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Peter's Health Helena, MT | $4 | $4 | — | — | 80 | $4 – $4 |
| 2 | Barnes Jewish Hospital St. Louis, MO | $990 | $1.1k | $281 | 26% | 47–101 | $4 – $1.5k |
| 3 | Dignity Health Phoenix, AZ | $7 | $603 | $907 | 151% | 34–52 | $3 – $2.9k |
| 4 | Columbus Regional Hospital Columbus, IN | $690 | $647 | $288 | 45% | 19–37 | $4 – $2.3k |
| 5 | Avera St. Mary's Hospital Pierre, SD | $7 | $57 | $64 | 111% | 17–44 | $4 – $1.2k |
| 6 | Missouri Baptist Medical Center Saint Louis, MO | $952 | $1.0k | $259 | 25% | 13–22 | $4 – $1.9k |
| 7 | Lisbon Area Health Services Lisbon, ND | $2 | $770 | $853 | 111% | 12 | $0 – $2.0k |
| 8 | Avera McKennan Hospital Sioux Falls, SD | $5 | $38 | $56 | 150% | 8–80 | $4 – $979 |
| 9 | Dignity Health Carmichael, CA | $7 | $413 | $830 | 201% | 5–50 | $1 – $3.0k |
| 10 | Alegent Health Bergan Mercy Health System Omaha, NE | $9 | $854 | $1.3k | 158% | 5–50 | $4 – $5.9k |
Ask Claude or any MCP client for HCPCS J9155 pricing at a specific hospital — see how to connect.