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
$3
Average
$3.2k
Median
$1.7k
High
$57.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
296 hospitals; the 90th percentile is 16.1× 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
375 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $483 | $981 | 203% | 434–479 | $20 – $4.5k |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $364 | $364 | $273 | 75% | 81 | $91 – $638 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $364 | $364 | $273 | 75% | 81 | $91 – $638 |
| 4 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $1.2k | $1.5k | $936 | 65% | 74–92 | $67 – $3.1k |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $1.9k | $2.6k | $2.2k | 86% | 51–69 | $0 – $9.3k |
| 6 | TRISTAR CENTENNIAL MEDICAL CENTER NASHVILLE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $774 | $774 | — | — | 47 | $774 – $774 |
| 7 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 1 | $834 | $834 | — | — | 38 | $834 – $834 |
| 8 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $1.2k | $1.3k | $875 | 66% | 23 | $73 – $3.4k |
| 9 | TRISTAR HORIZON MEDICAL CENTER DICKSON, TN percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 22 | $186 – $186 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $228 | $144 | 63% | 21–57 | $85 – $503 |
| 11 | TRISTAR HENDERSONVILLE MEDICAL CENTER PORTLAND, TN percent of total billed charges · outpatientfrom % of charges | 1 | $743 | $743 | — | — | 21 | $743 – $743 |
| 12 | TRISTAR SUMMIT MEDICAL CENTER HERMITAGE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | 21 | $166 – $166 |
| 13 | TRISTAR SKYLINE MEDICAL CENTER NASHVILLE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $689 | $689 | — | — | 19 | $689 – $689 |
| 14 | TRISTAR STONECREST MEDICAL CENTER Smyrna, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 15 | $1.0k – $1.0k |
| 15 | TRISTAR CENTENNIAL MEDICAL CENTER NASHVILLE, TN percent of total billed charges · inpatientfrom % of charges | 2 | $1.9k | $1.9k | $502 | 26% | 14–23 | $1.4k – $2.4k |
| 16 | TRISTAR SOUTHERN HILLS MEDICAL CENTER Nolensville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $467 | $467 | — | — | 13 | $467 – $467 |
| 17 | TRISTAR NORTHCREST MEDICAL CENTER SPRINGFIELD, TN percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | 11 | $314 – $314 |
| 18 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $3.9k | $8.6k | 220% | 7–70 | $63 – $44.3k |
| 19 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $265 | $1.0k | $1.2k | 120% | 4–40 | $6 – $4.6k |
| 20 | Betsy Johnson Hospital Dunn, NC facility · other · outpatient | 1 | $1.1k | $1.1k | $930 | 85% | 3–30 | $32 – $3.0k |
| 21 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $121 | $214 | 177% | 3–30 | $1 – $918 |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $3.9k | $8.6k | 220% | 2–20 | $63 – $44.3k |
| 23 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $174 | $155 | 89% | 2–20 | $21 – $582 |
| 24 | TRISTAR SKYLINE MEDICAL CENTER NASHVILLE, TN percent of total billed charges · inpatientfrom % of charges | 2 | $804 | $804 | $142 | 18% | 2–20 | $662 – $946 |
| 25 | TRISTAR SUMMIT MEDICAL CENTER HERMITAGE, TN percent of total billed charges · inpatientfrom % of charges | 2 | $170 | $170 | $3 | 2% | 2–20 | $166 – $173 |
← Payers reporting RC 343 · Snapshot 20261111T120946Z-9134e7f7