Telavancin injection, 10 mg at Dignity Health

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TELAVANCIN 250MG INJ JWTB

Sacramento, CA

See all hospitals reporting HCPCS J3095 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $11 is 16% above the median hospital's median price ($10), higher than 57% of the 1,349 hospitals reporting HCPCS J3095. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J3095 at Dignity Health

Negotiated rates from the hospital’s own file: 10 payers, 33 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	Anthem commercial\|connection epo fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	Anthem commercial\|all other plans fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
3	Anthem medicare\|all other plans fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
4	Aetna medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
5	Blue Cross Blue Shield medicare\|hmo case rate · outpatient	$10	$10	—	—	—	$10 – $10
6	Blue Cross Blue Shield medicare\|ppo fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
7	Humana commercial\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
8	Kaiser medicare\|all plans case rate · outpatient	$10	$10	—	—	—	$10 – $10
9	Molina medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
10	UnitedHealthcare medicare\|all plans case rate · outpatient	$10	$10	—	—	—	$10 – $10
11	Anthem medicare\|imperial fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
13	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
14	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
15	Blue Cross Blue Shield commercial\|calpers fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
16	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
17	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
18	Anthem commercial\|mcs fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
19	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
20	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
21	Molina medicaid\|all plans fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
22	Aetna commercial\|all other plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
23	Aetna commercial\|hmo fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
24	Aetna commercial\|ppo fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
25	Cigna commercial\|localplus fee schedule · outpatient	$16	$16	—	—	—	$16 – $16

Page 1 of 2 · 33 rates

Last updated: Feb 28, 2026

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