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
$0
Average
$2.5k
Median
$1.2k
High
$40.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
931 hospitals; the 90th percentile is 13.6× 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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1,691 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $498 | $2.6k | $4.2k | 164% | 24,319–24,877 | $0 – $22.1k |
| 2 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $496 | $2.6k | $4.3k | 166% | 2,680–2,842 | $0 – $28.1k |
| 3 | Mayo Clinic Rochester, MN facility · other · both | 3 | $693 | $1.1k | $924 | 87% | 2,448–2,610 | $51 – $3.9k |
| 4 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $644 | $1.9k | $3.1k | 160% | 726–807 | $35 – $9.2k |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $3.4k | $4.3k | 125% | 658–748 | $117 – $14.8k |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $4.2k | $4.4k | $3.6k | 81% | 541 | $386 – $10.9k |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $4.2k | $4.4k | $3.6k | 81% | 541 | $386 – $10.9k |
| 8 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $657 | $2.5k | $9.5k | 382% | 536–734 | $32 – $88.8k |
| 9 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $710 | $2.7k | $9.9k | 368% | 535–724 | $32 – $88.8k |
| 10 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $5.2k | $14.5k | 280% | 522–585 | $15 – $86.1k |
| 11 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $4.6k | $11.2k | 241% | 482–671 | $6 – $59.7k |
| 12 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $622 | $2.0k | $4.0k | 196% | 448–682 | $1 – $30.6k |
| 13 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $622 | $2.0k | $4.0k | 196% | 447–681 | $1 – $30.6k |
| 14 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $447 | $3.9k | $10.5k | 271% | 447–771 | $30 – $54.8k |
| 15 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $622 | $2.0k | $4.0k | 196% | 446–680 | $1 – $30.6k |
| 16 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $5.1k | $14.3k | 280% | 442–514 | $22 – $90.3k |
| 17 | HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY BEACH, FL percent of total billed charges · outpatientfrom % of charges | 5 | $608 | $563 | $66 | 12% | 440–449 | $482 – $630 |
| 18 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $622 | $2.0k | $4.0k | 196% | 438–663 | $1 – $30.6k |
| 19 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $622 | $2.0k | $4.0k | 196% | 426–651 | $1 – $30.6k |
| 20 | ST VINCENT INFIRMARY MEDICAL CENTER Little Rock, AR fee schedule · outpatient | 2 | $597 | $1.3k | $1.7k | 132% | 413–521 | $2 – $6.4k |
| 21 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $900 | $3.1k | $3.9k | 127% | 320–725 | $50 – $13.2k |
| 22 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $703 | $1.2k | $1.2k | 100% | 312–366 | $50 – $5.4k |
| 23 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 19 | $147 | $1.1k | $1.9k | 183% | 285–726 | $13 – $10.2k |
| 24 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $334 | $310 | $195 | 63% | 281–299 | $22 – $734 |
| 25 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $334 | $310 | $195 | 63% | 281–299 | $22 – $734 |
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