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
dilTIAZem 5 mg/mL Soln 25 mL VIAL
Ulm, MN
See all hospitals reporting HCPCS J1163 →Price type
Allina Health Systems’s median price of $34 is 265% above the median hospital's median price ($9), higher than 79% of the 1,537 hospitals reporting HCPCS J1163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $2 | 19% | — | $9 – $14 |
| 2 | Bcbs Mn bc pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $3 | 19% | — | $13 – $20 |
| 3 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | $3 | 19% | — | $15 – $23 |
| 4 | Bcbs Mn bc premier(n) facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $4 | 19% | — | $15 – $24 |
| 5 | Bcbs Mn bc state health plan (n) facility · percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $4 | 19% | — | $16 – $25 |
| 6 | Blue Cross Blue Shield bc aehp (n) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $23 | $4 | 19% | — | $18 – $28 |
| 7 | Bcbs Mn bc high value/performance network (n) facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $5 | 19% | — | $19 – $30 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $25 | $25 | $5 | 19% | — | $20 – $31 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $26 | $26 | $5 | 19% | — | $20 – $32 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | $5 | 19% | — | $21 – $32 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $27 | $27 | $5 | 19% | — | $21 – $33 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $35 | $36 | $7 | 19% | — | $28 – $44 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $7 | 19% | — | $28 – $44 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $38 | $38 | $7 | 19% | — | $30 – $47 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $38 | $39 | $7 | 19% | — | $31 – $48 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $40 | $41 | $8 | 19% | — | $32 – $50 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $9 | 19% | — | $37 – $57 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $47 | $47 | $9 | 19% | — | $38 – $58 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $48 | $49 | $9 | 19% | — | $39 – $60 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $48 | $49 | $9 | 19% | — | $39 – $60 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $48 | $49 | $9 | 19% | — | $39 – $60 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $49 | $49 | $9 | 19% | — | $39 – $60 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $49 | $50 | $9 | 19% | — | $39 – $61 |
Last updated: Jun 16, 2026
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