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
Iloprost non-comp unit dose
Low
$140
Average
$249
Median
$262
High
$397
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 2.1× 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.
Filter by billing methodology
Filter by billing class
21 hospital rates
iThe hospitals that file a Ambetter 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 2 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 3 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 4 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 5 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 6 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 7 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 8 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 9 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 10 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 11 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 12 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 13 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 14 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · outpatient | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $377 | $355 | $146 | 41% | — | $167 – $522 |
| 17 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 18 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 20 | WakeMed Cary Hospital Cary, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | $0 | 0% | — | $212 – $212 |
| 21 | Wakemed Raleigh Campus Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
← Payers reporting HCPCS Q4074 · Snapshot 20261112T181611Z-3fa9fb76