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 RECON SOLN 1 EACH VIAL
Duluth, MN
See all hospitals reporting HCPCS J0875 →Price type
Essentia Health Duluth’s median price of $18 is 40% below the median hospital's median price ($30), higher than 27% of the 1,897 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: 8 payers, 34 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 medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Healthpartners medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Medica medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Sanford Health Plan commercia-ndpers facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Sanford Health Plan commercial facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Ucare medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 13 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 14 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 20 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 21 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 5% | — | $22 – $24 |
| 22 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 23 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 24 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
Last updated: Jan 1, 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.