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
GENTAMICIN 40 MG/ML INJECTION SOLN [17804]
Arlington, TX
See all hospitals reporting HCPCS J1580 →Price type
AMH Cath Labs LLC’s median price of $17 is 77% above the median hospital's median price ($10), higher than 65% of the 2,314 hospitals reporting HCPCS J1580. 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, 25 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 | Blue Cross Blue Shield hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $3 | $1 | 42% | — | $1 – $4 |
| 3 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $3 | $1 | 42% | — | $1 – $4 |
| 4 | Blue Cross Blue Shield exchange fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $4 | $2 | 42% | — | $1 – $5 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $4 | $2 | 42% | — | $1 – $5 |
| 7 | Blue Cross Blue Shield ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $4 | $2 | 42% | — | $1 – $5 |
| 9 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $17 | $13 | $6 | 42% | — | $3 – $17 |
| 10 | Blue Cross Blue Shield traditional fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $21 | $16 | $7 | 42% | — | $4 – $21 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $23 | $18 | $8 | 42% | — | $5 – $23 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $26 | $20 | $8 | 42% | — | $5 – $26 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $27 | $21 | $9 | 42% | — | $5 – $27 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $27 | $21 | $9 | 42% | — | $5 – $27 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $28 | $21 | $9 | 42% | — | $6 – $28 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $35 | $27 | $11 | 42% | — | $7 – $35 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $35 | $27 | $11 | 42% | — | $7 – $35 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $35 | $27 | $11 | 42% | — | $7 – $35 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $35 | $27 | $11 | 42% | — | $7 – $35 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $37 | $29 | $12 | 42% | — | $7 – $37 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $44 | $34 | $14 | 42% | — | $9 – $44 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $44 | $34 | $14 | 42% | — | $9 – $44 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $47 | $36 | $15 | 42% | — | $9 – $47 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $47 | $36 | $15 | 42% | — | $9 – $47 |
Last updated: Apr 21, 2026
See Gentamicin sulfate injection, 40 mg/mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.