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
IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION
Low
$22
Average
$174
Median
$150
High
$486
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 13.9× 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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70 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $283 | $283 | $84 | 30% | — | $198 – $367 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $397 | $397 | $119 | 30% | — | $279 – $516 |
| 4 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 8 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 9 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 10 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 12 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 13 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $57 | $24 | 42% | — | $27 – $89 |
| 14 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $55 | $23 | 42% | — | $26 – $87 |
| 15 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $55 | $23 | 42% | — | $26 – $87 |
| 16 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $70 | $29 | 42% | — | $33 – $110 |
| 17 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 18 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | $55 | 49% | — | $57 – $167 |
| 19 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $437 | $437 | $151 | 35% | — | $286 – $588 |
| 20 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $228 | $322 | $157 | 49% | — | $194 – $544 |
| 21 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $57 | $106 | 184% | — | $3 – $269 |
| 22 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $54 | $99 | 184% | — | $3 – $252 |
| 23 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $283 | $125 | 44% | — | $154 – $452 |
| 24 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $283 | $125 | 44% | — | $154 – $452 |
| 25 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
← Payers reporting HCPCS J9208 · Snapshot 20261111T120946Z-9134e7f7