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
$10
Average
$1.3k
Median
$1.1k
High
$11.2k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
219 hospitals; the 90th percentile is 4.8× 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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277 hospital rates
iThe hospitals that file a Optum 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 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $548 | $664 | $489 | 74% | 46–91 | $126 – $1.9k |
| 2 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $595 | $760 | $628 | 83% | 34–79 | $32 – $2.5k |
| 3 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $909 | $981 | $590 | 60% | 27 | $51 – $2.4k |
| 4 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $413 | $905 | $1.2k | 132% | 12–120 | $26 – $5.2k |
| 5 | Boston Children's Hospital Boston, MA case rate · both | 1 | $1.8k | $1.8k | — | — | 11 | $1.8k – $1.8k |
| 6 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $232 | $685 | $678 | 99% | 5–50 | $126 – $1.9k |
| 7 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $545 | $1.1k | $1.3k | 124% | 5–50 | $0 – $7.0k |
| 8 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $782 | $930 | $672 | 72% | 4–40 | $190 – $2.3k |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $496 | $2.5k | $3.9k | 156% | 4–40 | $0 – $21.2k |
| 10 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $670 | $685 | $395 | 58% | 3–30 | $208 – $1.2k |
| 11 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $220 | $581 | $885 | 152% | 3–30 | $3 – $5.1k |
| 12 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $802 | $1.2k | $757 | 63% | 2–20 | $512 – $2.5k |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $1.5k | $1.5k | $292 | 19% | 2–20 | $1.2k – $1.8k |
| 14 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $2.7k | $2.7k | — | — | 2–20 | $2.7k – $2.7k |
| 15 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $144 | $168 | 117% | 2–20 | $17 – $694 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $671 | $936 | $712 | 76% | 2–20 | $50 – $2.5k |
| 17 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $41 | $39 | 93% | 1–10 | $1 – $123 |
| 18 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $802 | $925 | $173 | 19% | 1–10 | $802 – $1.2k |
| 19 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 1 | $395 | $2.2k | $3.6k | 166% | 1–10 | $0 – $19.0k |
| 20 | Mayo Clinic Health System Fairmont 56031-4575 facility · other · both | 1 | $412 | $464 | $128 | 28% | 1–10 | $346 – $671 |
| 21 | Mayo Clinic Health System Red Wing 55066-2848 facility · other · both | 1 | $761 | $1.0k | $681 | 66% | 1–10 | $346 – $2.5k |
| 22 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $787 | $656 | $387 | 59% | — | $10 – $1.0k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $103 | $100 | $14 | 14% | — | $20 – $103 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $744 | $933 | $548 | 59% | — | $51 – $2.2k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $1.3k | $1.9k | 142% | — | $6 – $9.2k |
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