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
DALBAVANCIN HCL 500 MG/25 ML SDV
Pendleton, OR
See all hospitals reporting HCPCS J0875 →Price type
Commonspirit Oregon’s median price of $8.7k is 28870% above the median hospital's median price ($30), higher than 99% of the 1,877 hospitals reporting HCPCS J0875. 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, 8 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 | Cigna commercial|all plans fee schedule · inpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | Regence commercial|all plans fee schedule · inpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 4 | Regence commercial|all plans fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 5 | Aetna commercial|all plans fee schedule · inpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
Last updated: Feb 28, 2026
See Injection of dalbavancin, 5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.