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
$5.5k
Median
$1.3k
High
$4891.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1294 hospitals; the 90th percentile is 12.5× 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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2,018 hospital rates
iThe hospitals that file a Cigna 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 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $655 | $1.4k | 212% | 1,458–1,710 | $1 – $6.6k |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $562 | $3.1k | $4.8k | 152% | 1,174–1,336 | $0 – $22.8k |
| 3 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $620 | $932 | 150% | 1,054–1,270 | $10 – $3.8k |
| 4 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $427 | $2.3k | $3.8k | 167% | 799–889 | $0 – $21.0k |
| 5 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $29 | $35 | 118% | 745–844 | $6 – $168 |
| 6 | WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $720 | $1.8k | 245% | 667–784 | $6 – $8.8k |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $24 | $30 | 123% | 467–566 | $1 – $115 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $50 | $78 | 156% | 370–469 | $6 – $360 |
| 9 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $177 | $461 | $775 | 168% | 113–266 | $12 – $2.8k |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $709 | $965 | 136% | 113–266 | $0 – $5.6k |
| 11 | Vanderbilt University Medical Center Nashville, TN other · both | 5 | $0 | $0 | — | — | 103–121 | $0 – $0 |
| 12 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $2.0k | $3.9k | $4.5k | 117% | 82–136 | $67 – $21.3k |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $3.7k | $4.3k | 117% | 80–188 | $135 – $13.1k |
| 14 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $346 | $290 | $176 | 61% | 75 | $50 – $483 |
| 15 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $346 | $290 | $176 | 61% | 75 | $50 – $483 |
| 16 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $837 | $1.2k | 142% | 68–131 | $24 – $4.8k |
| 17 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $576 | $1.2k | $1.7k | 148% | 65–173 | $22 – $10.7k |
| 18 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · bothfrom % of charges | 11 | $138 | $930 | $2.0k | 211% | 62–188 | $9 – $10.3k |
| 19 | Piedmont Atlanta Atlanta, GA per diem · both | 2 | $1.2k | $1.0k | $228 | 23% | 54–108 | $696 – $1.2k |
| 20 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $518 | $1.2k | $2.2k | 189% | 38 | $7 – $11.5k |
| 21 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $688 | $1.1k | 160% | 35–98 | $15 – $4.7k |
| 22 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $688 | $1.1k | 160% | 35–98 | $15 – $4.7k |
| 23 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 7 | $748 | $3.0k | $4.5k | 152% | 33–42 | $1 – $20.3k |
| 24 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 7 | $748 | $2.9k | $4.5k | 152% | 26 | $1 – $20.3k |
| 25 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 12 | $167 | $1.1k | $2.2k | 199% | 26–89 | $13 – $10.9k |
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