RC 343
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.
Generation details were not recorded for this description.
Original text from hospital filings
KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION
Low
$1
Average
$912
Median
$623
High
$4.9k
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
105 hospitals; the 90th percentile is 15.2× 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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134 hospital rates
iThe hospitals that file a Aetna Better Health 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 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $195 | $213 | 109% | 54–99 | $36 – $607 |
| 2 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $627 | $868 | 138% | 24–42 | $0 – $3.3k |
| 3 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $229 | $243 | 106% | 23–41 | $1 – $754 |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $143 | $185 | $68 | 36% | 21–93 | $117 – $268 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $472 | $578 | 122% | 21–93 | $23 – $2.8k |
| 6 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $898 | $1.1k | 120% | 7–70 | $15 – $3.6k |
| 7 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $139 | $216 | 155% | 6–60 | $1 – $838 |
| 8 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $41 | $38 | 93% | 2–20 | $1 – $121 |
| 9 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $30 | $13 | 44% | 2–20 | $1 – $41 |
| 10 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $67 | $79 | 118% | 2–20 | $1 – $280 |
| 11 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $150 | $182 | 121% | 2–20 | $2 – $691 |
| 12 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $90 | $113 | 126% | 2–20 | $1 – $347 |
| 13 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $201 | $630 | $1.3k | 203% | 2–20 | $2 – $7.0k |
| 14 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $2.1k | $5.6k | 265% | 2–20 | $8 – $29.2k |
| 15 | Webster Memorial Hospital Inc Cowen, WV facility · other · outpatient | 1 | $963 | $963 | $842 | 87% | 2–20 | $121 – $1.8k |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $64 | $84 | 130% | 1–10 | $1 – $303 |
| 17 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 18 | Norton Kings Daughters Health Inc Madison, IN facility · other · outpatient | 1 | $188 | $188 | — | — | 1–10 | $188 – $188 |
| 19 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $18 | $211 | $587 | 279% | — | $1 – $2.4k |
| 21 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $131 | $213 | 163% | — | $36 – $690 |
| 22 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $74 | $179 | $299 | 167% | — | $6 – $1.3k |
| 23 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $510 | $510 | $509 | 100% | — | $1 – $1.0k |
| 24 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 25 | Capital Health System Inc Trenton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $627 | $868 | 138% | — | $0 – $3.3k |
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