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
$43
Average
$331
Median
$162
High
$3.7k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 1.3× 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
40 hospital rates
iThe hospitals that file a WellCare 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 2 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 3 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 5 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 7 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 9 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 10 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 11 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 12 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 13 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 14 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 16 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 17 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 18 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 19 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 20 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 21 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 22 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 23 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 24 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 25 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
← Payers reporting HCPCS Q4074 · Snapshot 20261112T181611Z-3fa9fb76