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
$100
Average
$143
Median
$159
High
$159
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 1.4× 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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13 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 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 2 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 5 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 6 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA fee schedule · outpatient | 1 | $141 | $141 | $7 | 5% | — | $133 – $148 |
| 7 | OCHSNER MORGAN CITY LLC Morgan City, LA fee schedule · outpatient | 1 | $141 | $141 | $7 | 5% | — | $133 – $148 |
| 8 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 9 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 10 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 11 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA fee schedule · outpatient | 1 | $137 | $137 | $4 | 3% | — | $133 – $141 |
| 12 | The Chester County Hospital West Chester, PA facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 13 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
← Payers reporting HCPCS Q4074 · Snapshot 20261112T181611Z-3fa9fb76