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
$8.7k
Median
$2.0k
High
$5352.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
866 hospitals; the 90th percentile is 11.9× 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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1,357 hospital rates
iThe hospitals that file a MultiPlan 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 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $1.0k | $1.4k | 139% | 5–50 | $0 – $8.5k |
| 2 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $1.1k | $1.5k | 136% | 5–50 | $0 – $8.5k |
| 3 | Advocate Good Shepherd Hospital Barrington, IL percent of total billed charges · outpatientfrom % of charges | 1 | $760 | $1.6k | $2.3k | 138% | 2–20 | $8 – $7.4k |
| 4 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $939 | $939 | $149 | 16% | 2–20 | $790 – $1.1k |
| 5 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $494 | $1.4k | $2.0k | 143% | 2–20 | $41 – $8.2k |
| 6 | MultiCare Deaconess Hospital Spokane, WA percent of total billed charges · outpatientfrom % of charges | 1 | $726 | $2.6k | $4.1k | 158% | 2–20 | $4 – $17.3k |
| 7 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 8 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $1.0k | $1.4k | 139% | 1–10 | $0 – $8.5k |
| 9 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $1.1k | $1.5k | 136% | 1–10 | $0 – $8.5k |
| 10 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $1.0k | $1.4k | 139% | 1–10 | $0 – $8.5k |
| 11 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $1.1k | $1.5k | 136% | 1–10 | $0 – $8.5k |
| 12 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $1.0k | $1.4k | 139% | 1–10 | $0 – $8.5k |
| 13 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $1.1k | $1.5k | 136% | 1–10 | $0 – $8.5k |
| 14 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $1.0k | $1.4k | 139% | 1–10 | $0 – $8.5k |
| 15 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $1.1k | $1.5k | 136% | 1–10 | $0 – $8.5k |
| 16 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $1.0k | $1.4k | 139% | 1–10 | $0 – $8.5k |
| 17 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $1.1k | $1.5k | 136% | 1–10 | $0 – $8.5k |
| 18 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 19 | Mercy Hospital Ada Inc Ada, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $339 | $675 | $659 | 98% | 1–10 | $54 – $2.1k |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $301 | $1.2k | $1.9k | 161% | 1–10 | $25 – $7.9k |
| 21 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $301 | $1.2k | $1.9k | 161% | 1–10 | $25 – $7.9k |
| 22 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $790 | $3.5k | $11.8k | 338% | 1–10 | $34 – $89.5k |
| 23 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $915 | $3.8k | $12.4k | 324% | 1–10 | $34 – $89.5k |
| 24 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $348 | $240 | 69% | — | $63 – $952 |
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