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.
Original text from hospital filings
acetaZOLAMIDE 500 mg Solr 1 each VIAL
Rapids, MN
See all hospitals reporting HCPCS J1120 →Price type
Allina Health Systems’s median price of $77 is 31% above the median hospital's median price ($59), higher than 60% of the 2,121 hospitals reporting HCPCS J1120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Bcbs Mn bc premier (m u) facility · other · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $27 | $29 | $5 | 18% | — | $23 – $36 |
| 8 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $30 | $31 | $6 | 18% | — | $25 – $40 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $48 | $50 | $9 | 18% | — | $40 – $64 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $51 | $53 | $9 | 18% | — | $42 – $68 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $61 | $63 | $11 | 18% | — | $50 – $80 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $75 | $78 | $14 | 18% | — | $62 – $99 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $80 | $83 | $15 | 18% | — | $66 – $106 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $96 | $99 | $18 | 18% | — | $79 – $127 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $98 | $102 | $18 | 18% | — | $81 – $130 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $102 | $106 | $19 | 18% | — | $85 – $136 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $102 | $106 | $19 | 18% | — | $85 – $136 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $108 | $112 | $20 | 18% | — | $89 – $143 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $109 | $113 | $20 | 18% | — | $91 – $145 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $115 | $119 | $21 | 18% | — | $95 – $152 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $115 | $119 | $21 | 18% | — | $95 – $152 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $115 | $119 | $21 | 18% | — | $95 – $152 |
Last updated: Jun 17, 2026
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