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
erythromycin lactobionate 500 mg Solr 1 each VIAL
Ulm, MN
See all hospitals reporting HCPCS J1364 →Price type
Allina Health Systems’s median price of $158 is 27% above the median hospital's median price ($124), higher than 60% of the 1,934 hospitals reporting HCPCS J1364. 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 | $50 | $50 | $2 | 3% | — | $48 – $51 |
| 2 | Bcbs Mn bc pmap (n) facility · other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Bcbs Mn bc premier(n) facility · other · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $78 | $78 | $3 | 3% | — | $76 – $81 |
| 5 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $108 | $108 | $3 | 3% | — | $105 – $111 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $110 | $110 | $3 | 3% | — | $106 – $113 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | $4 | 3% | — | $107 – $115 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $115 | $115 | $4 | 3% | — | $111 – $118 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | $5 | 3% | — | $146 – $156 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | $5 | 3% | — | $148 – $157 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $163 | $163 | $5 | 3% | — | $158 – $168 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | $5 | 3% | — | $160 – $170 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $173 | $173 | $5 | 3% | — | $167 – $178 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | $6 | 3% | — | $191 – $204 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $202 | $202 | $6 | 3% | — | $195 – $208 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $207 | $207 | $7 | 3% | — | $201 – $214 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $7 | 3% | — | $201 – $214 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $7 | 3% | — | $201 – $214 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $209 | $209 | $7 | 3% | — | $202 – $215 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $211 | $211 | $7 | 3% | — | $204 – $217 |
Last updated: Jun 16, 2026
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