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
$1.1k
Median
$789
High
$16.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
502 hospitals; the 90th percentile is 31.0× 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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713 hospital rates
iThe hospitals that file a Molina 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 | Covenant Medical Center Inc Saginaw, MI facility · other · outpatient | 1 | $16 | $16 | — | — | 333 | $16 – $16 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $1.3k | $2.0k | 152% | 321–474 | $1 – $7.3k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $954 | $1.4k | 152% | 199–307 | $1 – $5.3k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $1.1k | $1.6k | 152% | 118–226 | $1 – $6.0k |
| 5 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $3.2k | $3.2k | $2.2k | 67% | 60 | $1.1k – $5.4k |
| 6 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $3.2k | $3.2k | $2.2k | 67% | 60 | $1.1k – $5.4k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $1.1k | $1.6k | 152% | 39–174 | $1 – $6.0k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $954 | $1.4k | 152% | 32–194 | $1 – $5.3k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $1.1k | $1.6k | 152% | 30–75 | $1 – $6.0k |
| 10 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $151 | $182 | $138 | 76% | 27–36 | $50 – $600 |
| 11 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $372 | $307 | $186 | 61% | 20 | $52 – $506 |
| 12 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $372 | $307 | $186 | 61% | 20 | $52 – $506 |
| 13 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $116 | $116 | $69 | 59% | 19–73 | $31 – $195 |
| 14 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $482 | $482 | — | — | 15 | $482 – $482 |
| 15 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $557 | $819 | $756 | 92% | 11 | $46 – $3.5k |
| 16 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $199 | $217 | 109% | 7–70 | $36 – $619 |
| 17 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $89 | $170 | $106 | 62% | 7–70 | $74 – $306 |
| 18 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 2 | $272 | $638 | $646 | 101% | 6–60 | $24 – $2.5k |
| 19 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 2 | $310 | $2.6k | $7.0k | 270% | 6–60 | $8 – $41.7k |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $1.2k | $1.8k | $1.8k | 100% | 6–60 | $0 – $9.4k |
| 21 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $351 | $713 | 203% | 6–60 | $14 – $3.3k |
| 22 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $67 | $79 | 118% | 5–50 | $1 – $280 |
| 23 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $229 | $243 | 106% | 5–50 | $1 – $754 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $268 | $240 | $55 | 23% | 5–50 | $131 – $268 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $268 | $240 | $55 | 23% | 5–50 | $131 – $268 |
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