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
ACETAMN(NOS)1GM/100ML SDV
Woodland, CA
See all hospitals reporting HCPCS J0131 →Price type
Dignity Community Care’s median price of $19 is 801% above the median hospital's median price ($2), higher than 62% of the 1,916 hospitals reporting HCPCS J0131. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $0.08 | $0.08 | $0.08 – $0.08 |
| 2 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $0.08 | $0.08 | $0.08 – $0.08 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $0.08 | $0.08 | $0.08 – $0.08 |
| 4 | Aetna commercial|all other plans fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 5 | Aetna commercial|hmo fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 6 | Aetna commercial|ppo fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 7 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 8 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 9 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 11 | Anthem commercial|connection epo fee schedule · outpatient | $0.20 | $0.20 | $0.20 – $0.20 |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $0.25 | $0.25 | $0.25 – $0.25 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $0.30 | $0.30 | $0.30 – $0.30 |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $0.56 | $0.56 | $0.56 – $0.56 |
| 15 | Kaiser medicaid|all plans fee schedule · inpatient | $69.70 | $56.09 | $24.60 – $73.80 |
| 16 | Kaiser medicaid|all plans fee schedule · outpatient | $69.70 | $56.09 | $24.60 – $73.80 |
| 17 | Cigna commercial|localplus fee schedule · inpatient | $71.40 | $57.46 | $25.20 – $75.60 |
| 18 | Cigna commercial|localplus fee schedule · outpatient | $71.40 | $57.46 | $25.20 – $75.60 |
| 19 | Kaiser commercial|all plans fee schedule · inpatient | $91.80 | $73.87 | $32.40 – $97.20 |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $91.80 | $73.87 | $32.40 – $97.20 |
| 21 | Cigna commercial|all other plans fee schedule · inpatient | $95.20 | $76.61 | $33.60 – $100.80 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $95.20 | $76.61 | $33.60 – $100.80 |
| 23 | Magellan commercial|all plans fee schedule · inpatient | $102.00 | $82.08 | $36.00 – $108.00 |
| 24 | Magellan commercial|all plans fee schedule · outpatient | $102.00 | $82.08 | $36.00 – $108.00 |
| 25 | First Health commercial|all plans fee schedule · inpatient | $153.00 | $123.12 | $54.00 – $162.00 |
Last updated: Feb 28, 2026
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