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
Prolastin C Liq 10 Mg Vial
Dell Rapids, SD
See all hospitals reporting HCPCS J0256 →Price type
Avera Dell Rapids Hospital’s median price of $18 is 142% above the median hospital's median price ($7), higher than 74% of the 1,767 hospitals reporting HCPCS J0256. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Medica com fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Medica ind fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Medica com percent of total billed charges · inpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
Last updated: Apr 1, 2026
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